Gurney J W, Olson D L, Schroeder B A
Department of Radiology, Medical College of Wisconsin, Milwaukee.
Radiographics. 1989 May;9(3):467-85. doi: 10.1148/radiographics.9.3.2727356.
The appearance of the stomach bubble provides many clues to underlying thoracoabdominal disorders. Illustrated in this article are (1) the major complications of large hiatal hernias: intrathoracic gastric volvulus and ulceration; (2) diaphragmatic abnormalities including inversion of the hemidiaphragm and intrathoracic displacement of abdominal contents because of diaphragmatic laceration or congenital herniation; (3) extrinsic displacement of the stomach bubble by splenomegaly (the occurrence of which in association with radiographic abnormalities in the chest--cardiomegaly, interstitial lung disease, mediastinal or hilar adenopathy--helps form a differential diagnosis); and (4) situs abnormalities for the analysis of which a simplified schema is presented.
胃泡的出现为潜在的胸腹部疾病提供了许多线索。本文阐述了以下内容：（1）大型食管裂孔疝的主要并发症：胸腔内胃扭转和溃疡；（2）膈肌异常，包括半膈肌倒置以及由于膈肌撕裂或先天性疝导致的腹腔内容物胸腔内移位；（3）脾肿大导致胃泡外在移位（其与胸部影像学异常——心脏扩大、间质性肺病、纵隔或肺门淋巴结病——同时出现有助于形成鉴别诊断）；以及（4）提出了一种用于分析内脏位置异常的简化模式。
