Yu Y P
Department of Internal Medicine, First Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou.
Zhonghua Jie He He Hu Xi Za Zhi. 1990 Feb;13(1):30-2, 62.
Twenty-five patients with spontaneous pneumothorax were studied with contrast pleurography. The technique was referred to that of rudy introduced. It could clearly show not only the shape of pleural surfaces and the anatomic relations of interlobular spaces, parietal and visceral pleurae, mediastinal and diaphragmatic boundaries, but also the signs of bullae and blebs, while the contrast agent flowed in pleural cavity. The diagnostic rate on bulla and bleb was 100%, which was superior to that of the plain roentgenogram. The big or small hyperlucent vesicular inflated lesions, most were multiple and got together, were observed in the lung with pneumothorax. Thoracotomies were performed in 4 cases and the locations of bullae were found to accord with the results of pleurography. Side-effect was not observed during or after this procedure.
对25例自发性气胸患者进行了对比胸膜造影研究。该技术参照鲁迪介绍的方法。当造影剂流入胸腔时，它不仅能清晰显示胸膜表面的形态、小叶间隙、壁层和脏层胸膜、纵隔和膈肌边界的解剖关系，还能显示肺大疱和肺小疱的征象。肺大疱和肺小疱的诊断率为100%，优于普通X线片。在气胸患者的肺部观察到大小不等的透亮囊状充气病变，多数为多发且聚集在一起。4例行开胸手术，发现肺大疱的位置与胸膜造影结果相符。该检查过程中及检查后均未观察到副作用。
