Baysal K, Uysal S, Cetinkaya F, Gürses N, Akan H
Department of Pediatrics, Ondokuz Mayis University School of Medicine, Samsun, Turkey.
Indian J Pediatr. 1997 Sep-Oct;64(5):713-7. doi: 10.1007/BF02726132.
Thirteen cases with pulmonary atelectasis were examined by two-dimensional sonography in our clinics between October 1990 and April 1993. Patients' ages ranged from 2 to 16 years. Five patients revealed atelectasis with pleural effusion and eight patients had only atelectasis. Two-dimensional sonography showed a solid mass indistinguishable from lung parenchyma in patients with atelectatic lung segment without pleural effusion while atelectatic segment was readily identified in those with pleural effusion. We conclude that sonography is a useful and non-invasive technique in differentiating cardiac from extracardiac masses, because atelectatic lung segment with moderate to large pleural effusion may mimic intrapericardial masses.
1990年10月至1993年4月期间，我们诊所对13例肺不张患者进行了二维超声检查。患者年龄在2至16岁之间。5例患者显示肺不张合并胸腔积液，8例患者仅有肺不张。二维超声检查显示，在无胸腔积液的肺不张肺段患者中，可见一个与肺实质难以区分的实性肿块，而在有胸腔积液的患者中，肺不张段很容易识别。我们得出结论，超声检查是一种区分心脏肿块和心脏外肿块的有用且无创的技术，因为伴有中至大量胸腔积液的肺不张肺段可能会模拟心包内肿块。
