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目的:探讨肾病综合征胸部平片X线特点。方法:回顾性分析经临床及/或肾穿刺病理证实肾病综合征88例患者的胸部平片X线表现及分型。结果:根据胸部X线表现可分为如下几种类型:1.肺部改变;(1)支气管炎型52例;(2)肺瘀血及间质性肺水肿型38例;(3)肺泡性肺水肿型18例,2.心脏形态改变:全心位及左心室增大26例.心包积液8例,表现为心形如烧瓶状。3.胸膜改变28例:主要表现为双侧胸腔积液8例。结论:肾病综合征胸部平片X线表现多种多样.缺乏特异性,本病诊所必须结合临床特征。
Objective: To investigate the X-ray features of thoracic plain film in nephrotic syndrome. Methods: X-ray findings and classification of chest radiographs in 88 patients with nephrotic syndrome confirmed by clinical and / or renal biopsy were retrospectively analyzed. Results: According to chest X-ray performance can be divided into the following types: 1. (1) 52 cases of bronchitis; (2) 38 cases of pulmonary blood stasis and interstitial pulmonary edema; (3) 18 cases of alveolar pulmonary edema; 2. The change of heart shape: Left ventricular enlargement in 26 cases. Pericardial effusion in 8 cases, manifested as heart-shaped flask. 3. Pleural changes in 28 cases: the main manifestations of bilateral pleural effusion in 8 cases. Conclusion: Nephrotic syndrome chest radiographs show a variety of X-ray. Lack of specificity, the clinic clinic must be combined with clinical features.