喷射性水疱：腹膜胸膜瘘与吸气相关漏液的影像学表现及治疗
The squirting bleb: image and treatment of inspiration-linked leakage of a peritoneopleural fistula.
作者信息
Krouwels F H, Bresser P
机构信息
Department of Pulmonology, OLVG Hospital, 1090 HA Amsterdam, The Netherlands.
出版信息
Thorax. 2004 Apr;59(4):353-4. doi: 10.1136/thx.2003.005488.
A 25 year old man with known chronic right sided heart failure and ascites due to a congenital heart defect presented with dyspnoea and a massive pleural effusion. Thoracoscopy revealed two diaphragmatic blebs. Changes in peritoneal and thoracic pressure during respiration resulted in periodic squirting of a ruptured bleb, illustrating preferential flow of peritoneal fluid into the thorax. The pleural effusion was successfully treated with drainage of ascitic fluid and chemical pleurodesis.
一名25岁男性，因先天性心脏缺陷患有慢性右侧心力衰竭和腹水，出现呼吸困难和大量胸腔积液。胸腔镜检查发现两个膈肌小泡。呼吸过程中腹腔和胸腔压力的变化导致破裂小泡周期性喷射，表明腹腔液优先流入胸腔。通过引流腹水和化学性胸膜固定术成功治疗了胸腔积液。
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