洪小卫, 王晓红, 栾荣华, 李成祥, 陶凌, 孙冬冬. 介入操作所致心包积液的早期X线诊断特征[J]. 心脏杂志, 2019, 30(1): 65-68. DOI: 10.12125/j.chj.201711014
    引用本文: 洪小卫, 王晓红, 栾荣华, 李成祥, 陶凌, 孙冬冬. 介入操作所致心包积液的早期X线诊断特征[J]. 心脏杂志, 2019, 30(1): 65-68. DOI: 10.12125/j.chj.201711014
    Xiao-wei HONG, Xiao-hong WANG, Rong-hua LUAN, Cheng-xiang LI, Ling TAO, Dong-dong SUN. Early X-ray diagnosis of pericardial effusion and its clinical application during cardiac intervention procedures[J]. Chinese Heart Journal, 2019, 30(1): 65-68. DOI: 10.12125/j.chj.201711014
    Citation: Xiao-wei HONG, Xiao-hong WANG, Rong-hua LUAN, Cheng-xiang LI, Ling TAO, Dong-dong SUN. Early X-ray diagnosis of pericardial effusion and its clinical application during cardiac intervention procedures[J]. Chinese Heart Journal, 2019, 30(1): 65-68. DOI: 10.12125/j.chj.201711014

    介入操作所致心包积液的早期X线诊断特征

    Early X-ray diagnosis of pericardial effusion and its clinical application during cardiac intervention procedures

    • 摘要:
        目的   分析心脏介入手术中医源性心包积液在X线下的早期征象,为心包积液的早期诊断提供依据。
        方法   通过对我科2005年9月~2017年8月12年间,61315例行心脏介入治疗患者进行影像学分析,发现126例术中心包积液患者,分析其X线影像学的特征表现。该126例心包积液患者中,大量积液36例,中量积液35例,少量积液55例。
        结果   心影内外缘搏动一致性变差(双边征)是X线诊断术中心包积液的早期特征性征象。随着心包积液量的增多,心影内外缘之间的搏动变化从同步一致到同步一致性变差,再到不同步甚至心影外缘搏动消失。
        结论   心影内外缘之间搏动的变化即“双边征”的出现或“双边征”之间距离的增宽是X线诊断术中心包积液的早期特征性征象。

       

      Abstract:
        AIM   AIM To investigate the early specific X-ray signs of iatrogenic pericardial effusion during cardiac intervention procedures. The present study may provide early diagnosis evidence for pericardial effusion.
        METHODS   Specific X-ray characteristics of pericardial effusion were investigated by analyzing 126 cases of patients with pericardial effusion in our Department from September 2005 to August 2017. These patients included 36 cases of large pericardial effusion, 35 cases of moderate pericardial effusion, and 55 cases of minor pericardial effusion.
        RESULTS   The synchronous beating disturbance of the outside margin and inside margin of the heart (bilateral sign) was the early specific X-ray characteristic of pericardial effusion. With the increase of the volume of pericardial effusion, the synchronous beating of the outside edge and inside edge of the heart became awkward and then disappeared.
        CONCLUSION   The occurrence of the " bilateral sign” or widening of the " bilateral sign” is the early specific X-ray characteristic of pericardial effusion.

       

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