慢性肾病胸腔积液的特殊X线表现

目的:通过分析慢性肾病胸腔积液的特殊X线表现,以提高对该类病变积液特点的认识。方法:对4例慢性肾病包括肾病综合征、肾衰及狼疮性肾炎等并发胸腔积液患者的不同体位的X线片进行回顾性分析。结果:4例中有3例表现为右侧前下纵隔积液,1例同时有右侧肺底积液及更为少见的左侧后纵隔积液,有1例表现为单纯的左侧肺底积液,同时有2例表现为右侧叶间积液,2例表现为双侧少量游离性积液。结论:慢性肾病并发胸腔积液具有一定的特点,除了游离性积液、叶间积液外,还可见到较为少见的肺底积液、前下纵隔积液及更为少见的后纵隔积液。

Analysis of Special X-ray Sign in Pleural Effusion of Chronic Kidney Disease

Objective: To analyze the special radiographic findings of chronic nephropathy pleural effusion,and improve the knowledge of the characteristics of pathological pleural effusion.Methods: X-ray films from four patients with chronic nephropathy including nephrotic syndrome,renal failure,lupus nephritis and other,which were complicated with pleural effusion in different positions,were retrospectively analyzed.Results: Three cases showed effusion at right anterior of inferior mediastinum;1 case showed right subpulmonic effusion and uncommon left posterior mediastinum effusion;1 cases showed simple left subpulmonic effusion;and 2 cases showed right lobe of interstitial fluid accumulation,2 cases showed small quantity of bilateral free fluid.Conclusion: There were some certain characteristics of chronic kidney disease complicated with pleural effusion,in addition to the free fluid and leaf interstitial fluid accumulation,the rare subpulmonic effusion,anterior inferior mediastinum effusion and more uncommon posterior mediastinal effusion should be taken into consideration.