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脏层胸膜炎症,一种非特异性石棉相关胸膜反应:胸部X线片与计算机断层扫描相关性

Inflammation of the visceral pleura, a nonspecific asbestos-related pleural reaction: chest radiograph and computed tomograph correlation.

作者信息

Solomon A, Rubin A H, Bar-Ziv J, Carel R

机构信息

Division of Imaging, Tel-Aviv Medical Center, Sackler School of Medicine, Tel-Aviv University, Israel.

出版信息

Am J Ind Med. 1991;20(1):49-55. doi: 10.1002/ajim.4700200105.

Abstract

Nonspecific pleuritis, i.e., inflammation of the visceral pleura, is recognized by the presence of pleural strands on the routine posteroanterior chest radiograph. The computed tomograph counterparts of these strands are seen as interlobular septal intrusions and lenticular or wedge-shaped subpleural opacities. The pleural reaction is nonspecific and may be found with asbestos exposure, traumatic hemorrhagic effusions, pulmonary embolism, viral pleurisy, malignant pleural effusions, and lupus or rheumatoid effusions. The asbestos-related pleural changes may be found alone or in association with parietal pleural plaque formation or with asbestotic lung fibrosis.

摘要

非特异性胸膜炎,即脏层胸膜的炎症,通过常规后前位胸片上胸膜条索的存在得以识别。这些条索在计算机断层扫描中的对应表现为小叶间隔增厚以及透镜状或楔形的胸膜下混浊。胸膜反应是非特异性的,可在石棉暴露、创伤性出血性胸腔积液、肺栓塞、病毒性胸膜炎、恶性胸腔积液以及狼疮或类风湿性胸腔积液中出现。与石棉相关的胸膜改变可单独出现,或与壁层胸膜斑形成或石棉肺纤维化同时存在。

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