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膈下脓肿:X线检查要点

Subphrenic abscess: roentgen considerations.

作者信息

Mottram M E

出版信息

Calif Med. 1967 Jul;107(1):20-5.

PMID:6045484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1502859/
Abstract

Roentgen findings in subphrenic abscess, in the order of their specificity and clinical value, are subphrenic air-fluid level, elevation and restriction of motion of the diaphragm, pleural reaction with congestion, segmental atelectasis or pneumonitis at the lung base and upper abdominal mass. Less frequently there may be empyema or bronchopleural fistula. Suppression of the infection by antibiotics may protract the course and obscure the clinical findings. Serial x-ray and fluoroscopic studies are recommended when a patient who has had rupture of a viscus or previous abdominal operation does not completely recover or has a persistent lowgrade fever.

摘要

膈下脓肿的X线表现,按其特异性和临床价值排序依次为:膈下气液平面、膈肌抬高和活动受限、胸膜反应伴充血、肺底部节段性肺不张或肺炎以及上腹部肿块。较少见的情况可能有脓胸或支气管胸膜瘘。抗生素抑制感染可能会延长病程并使临床症状不明显。对于有脏器破裂或既往腹部手术史但未完全康复或持续低热的患者,建议进行系列X线和荧光镜检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/b31276ef5045/califmed00037-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/5fa9257304a2/califmed00037-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/45c974d2845e/califmed00037-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/efb2e32f977c/califmed00037-0025-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/b31276ef5045/califmed00037-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/5fa9257304a2/califmed00037-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/45c974d2845e/califmed00037-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/efb2e32f977c/califmed00037-0025-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a60/1502859/b31276ef5045/califmed00037-0026-a.jpg

相似文献

1
Subphrenic abscess: roentgen considerations.膈下脓肿:X线检查要点
Calif Med. 1967 Jul;107(1):20-5.
2
Subpulmonic empyema masquerading as subphrenic abscess.伪装成膈下脓肿的肺下脓胸
J Can Assoc Radiol. 1980 Dec;31(4):256-7.
3
Subphrenic abscess: a pulmonary presentation.膈下脓肿:一种肺部表现。
Am J Emerg Med. 1987 Nov;5(6):512-5. doi: 10.1016/0735-6757(87)90173-2.
4
[Subphrenic abscess and its x-ray differential diagnosis].[膈下脓肿及其X线鉴别诊断]
Cesk Radiol. 1972 Sep;26(5):288-92.
5
[How to detect a subphrenic abscess by radiology].[如何通过放射学检测膈下脓肿]
Presse Med (1893). 1970 Feb 25;78(10):475-8 passim.
6
Combined liver-lung gamma imaging in subphrenic abscess.膈下脓肿的肝肺联合γ显像
S Afr Med J. 1976 Aug 14;50(35):1367-70.
7
[The subphrenic abscess--possibilities and problems of ultrasound diagnosis (author's transl)].膈下脓肿——超声诊断的可能性与问题(作者译)
Rontgenblatter. 1980 Jun;33(6):298-301.
8
Pseudo-subphrenic abscess.假性膈下脓肿
Clin Radiol. 1981 Mar;32(2):157-61. doi: 10.1016/s0009-9260(81)80151-1.
9
CT differentiation of subphrenic abscess and pleural effusion.膈下脓肿与胸腔积液的CT鉴别
AJR Am J Roentgenol. 1983 Jan;140(1):47-51. doi: 10.2214/ajr.140.1.47.
10
CAT scan of the month: Subphrenic and abdominal abscess of undertermined etiology.本月CT扫描结果:病因不明的膈下及腹腔脓肿。
J Tenn Med Assoc. 1979 Mar;72(3):213.

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Intraperitoneal anatomy with the aid of pathologic fluid and gas: An imaging pictorial review.借助病理性液体和气体的腹膜内解剖:影像学图谱综述
J Clin Imaging Sci. 2023 May 19;13:13. doi: 10.25259/JCIS_29_2023. eCollection 2023.

本文引用的文献

1
SUBPHRENIC ABSCESS: A THORACOABDOMINAL CLINICAL COMPLEX: THE CHANGING PICTURE WITH ANTIBIOTICS.膈下脓肿:一种胸腹部临床综合征:抗生素治疗下的变化情况
Am J Surg. 1964 Aug;108:165-74. doi: 10.1016/0002-9610(64)90006-6.
2
Subdiaphragmatic abscess.膈下脓肿
Ann Surg. 1962 Apr;155(4):506-17. doi: 10.1097/00000658-196204000-00005.
3
The intrathoracic complications of subphrenic abscess.膈下脓肿的胸腔内并发症。
J Thorac Cardiovasc Surg. 1959 Dec;38:771-9.
4
Subphrenic abscess.膈下脓肿
Surg Gynecol Obstet. 1953 Apr;96(4):463-70.