Cortés Campos A, Martínez Rodríguez M
Servicio de Radiodiagnóstico, Hospital Universitario Vall d'Hebron, Barcelona, España.
Servicio de Radiodiagnóstico, Hospital Universitario Vall d'Hebron, Barcelona, España.
Radiologia. 2014 May-Jun;56(3):257-67. doi: 10.1016/j.rx.2013.08.003. Epub 2013 Nov 17.
Atelectasis is an important indicator of potentially severe underlying disease that must be diagnosed as early as possible. One of the most common mechanisms is the reabsorption of air distal to respiratory tract obstruction. The chest x-ray is an excellent tool to diagnose atelectasis, and it is especially useful for ruling out central bronchial obstructions (e.g., from endobronchial tumors). If the signs of volume loss are not recognized correctly, the diagnosis and treatment can be delayed. This article describes the main findings of lobar atelectasis on chest x-rays and their correlations with CT findings, including the classic signs described in the literature and other, less known and sometimes subtle signs.
肺不张是潜在严重基础疾病的重要指标,必须尽早诊断。最常见的机制之一是呼吸道阻塞远端空气的重吸收。胸部X线是诊断肺不张的绝佳工具,对排除中央支气管阻塞(如支气管内肿瘤所致)尤为有用。如果未正确识别肺容积缩小的征象,诊断和治疗可能会延迟。本文描述了胸部X线片上肺叶不张的主要表现及其与CT表现的相关性,包括文献中描述的典型征象以及其他鲜为人知且有时较为细微的征象。