Jantsch H, Winkler M, Pichler W, Mauritz W, Lechner G
Röntgenabteilung, Chir. Univ. Klinik.
Rofo. 1990 Sep;153(3):275-7. doi: 10.1055/s-2008-1033378.
In 55 intensive-care patients an additional tangential view of the chest was taken to demonstrate or exclude a pneumothorax in patients with sudden deterioration of gas exchange and negative ap-chest x-ray, if there was a suspicion of pneumothorax or a confirmed small pneumothorax in the ap-view. In 14 of 42 cases (33.3%) with negative or suspected ap-chest x-ray the tangential view revealed a pneumothorax. 6 of these 14 pneumothoraces were under tension. In 7 out of 11 patients (63.6%) with small pneumothorax, the tangential view showed additionally a tension pneumothorax.
在55例重症监护患者中,如果怀疑气胸或在后前位胸片上证实有小气胸,且气体交换突然恶化而后前位胸片为阴性,则拍摄胸部额外的切线位片以证实或排除气胸。在后前位胸片阴性或怀疑气胸的42例患者中,有14例(33.3%)经切线位片显示存在气胸。这14例气胸中,有6例为张力性气胸。在11例小气胸患者中,有7例(63.6%)经切线位片显示还存在张力性气胸。