Nielsen P H, Jepsen S B, Olsen A D
Department of Abdominal Surgery, Aalborg Sygehus, Denmark.
Chest. 1989 Nov;96(5):1133-5. doi: 10.1378/chest.96.5.1133.
Of 128 patients who underwent upper abdominal surgery, examined by standard preoperative and postoperative chest roentgenograms for the formation of postoperative pleural effusions, 89 had postoperative pleural effusions. Their presence was not related to the type of operation, infection, serum amylases, sex, smoking habits, or weight. There was no correlation between the localization of the pleural effusions and that of the abdominal incisions. There was a positive correlation between atelectasis and pleural effusion, but no evidence of a causal relationship. Pleural effusions might be related to postoperative sodium and water retention, and aggravated by an age-related relative cardiac decompensation. Early postoperative pleural effusions are common and do not require specific treatment.
在128例行上腹部手术的患者中，通过术前和术后标准胸部X线片检查术后胸腔积液的形成情况，其中89例出现术后胸腔积液。胸腔积液的出现与手术类型、感染、血清淀粉酶、性别、吸烟习惯或体重无关。胸腔积液的部位与腹部切口的部位之间没有相关性。肺不张与胸腔积液之间存在正相关，但没有因果关系的证据。胸腔积液可能与术后钠水潴留有关，并因年龄相关的相对性心脏代偿失调而加重。术后早期胸腔积液很常见，不需要特殊治疗。
