Borini P
Department of Internal Medicine, Faculdade de Marília, São Paulo, Brasil.
Rev Paul Med. 1992 Jul-Aug;110(4):163-72.
The present study reports on diaphragmatic changes observed in 226 patients with diseases of abdominal organs of the digestive system. The group consisted of 121 males (53.5%) and 105 females (46.5%) (mean age: 44.1 +/- 4.3 years; range 15-83 years). The parameter of reference for comparisons between normal and pathological conditions was the normal average difference in height between the hemidiaphragms, which was obtained from 220 postero-anterior chest radiographs. These radiographs were obtained from 99 males (49.5%) and 101 females (50.5%) (mean age; 41.1 +/- 5.6 years; range: 15-78 years) who did not present any symptoms compatible with diseases of the digestive system. Several diseases which affect different abdominal organs were found to cause various differences in height between the left and right hemidiaphragms. The mechanism and clinical applications of the alterations observed are discussed.
本研究报告了226例消化系统腹部器官疾病患者所观察到的膈肌变化情况。该组患者包括121名男性（53.5%）和105名女性（46.5%）（平均年龄：44.1±4.3岁；年龄范围15 - 83岁）。正常与病理状态之间进行比较的参考参数是从220张后前位胸部X光片中获得的半侧膈肌之间正常的平均高度差。这些X光片来自99名男性（49.5%）和101名女性（50.5%）（平均年龄；41.1±5.6岁；年龄范围：15 - 78岁），他们没有出现任何与消化系统疾病相符的症状。发现几种影响不同腹部器官的疾病会导致左右半侧膈肌之间的高度出现各种差异。文中讨论了所观察到的这些改变的机制及临床应用。
