O'Callaghan C, Cooke J, Kerr I H, Shinebourne E A
Br Heart J. 1985 Dec;54(6):593-5. doi: 10.1136/hrt.54.6.593.
Postoperative chest radiographs on 100 children who had undergone cardiac operations were evaluated to determine the frequency of subpulmonary effusions after surgery. Of the 83 patients in whom adequate erect postoperative radiographs were available, 9 (11%) had effusions confirmed by lateral decubitus radiographs. On the frontal chest x ray film, the evidence of an effusion was an increase in distance between the diaphragm and air in the gastric fundus, or an apparent elevation of the right hemidiaphragm. None of the patients examined echocardiographically had associated pericardial effusions. When a subpulmonary effusion was detected diuretic treatment was started or continued. None of the patients had radiographic evidence of residual fluid when they were seen two weeks after their discharge from hospital.
对100例接受心脏手术的儿童术后胸部X线片进行评估，以确定术后肺下积液的发生率。在83例有足够的术后立位X线片的患者中，9例（11%）经侧卧位X线片证实有积液。在前位胸片上，积液的征象是膈肌与胃底气体之间的距离增加，或右半膈肌明显抬高。经超声心动图检查的患者均无相关的心包积液。当检测到肺下积液时，开始或继续利尿治疗。出院两周后复查时，所有患者均无残留液体的影像学证据。
