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[胸部X光片对犬同种异体肺移植术后并发症的诊断价值]

[Diagnostic value of chest x-ray film in recognizing complications following homologous lung transplantation in the dog].

作者信息

Danzmann E, Mansfeld L, Engelmann C, Rotte K H, Harzendorf E

出版信息

Z Exp Chir Transplant Kunstliche Organe. 1983;16(5):277-91.

PMID:6359741
Abstract

The postoperative controls of the course after unilateral homologous lung transplantation were interpreted by chest X-ray films of 86 dogs. Radiomorphologic findings in the transplanted lung had developed 69% of the surviving animals in the end of the 5th and 80% on the 9th postoperative day. The descriptive phenomena of the chest X-ray films were compared with the post-mortem findings concerning their etiology. Phenomena caused by rejection, by operation, and in a third group by rejection and operation could be separated statistically as to the temporal occurrence. - In that manner the partial or total shadow of the graft is a sign of rejection after the 5th postoperative day and the pneumothorax is a sign for a postoperative complication before the 5th day, on the other hand a phenomenon for the rejection after this time. - The radiologic findings are restricted by imperfect position of the animals during the radiograph and by overshadowing bony parts of the thorax. The diagnostic value of the chest X-ray film is reduced much, because the differential diagnosis to the radiomorphologic findings requires additional diagnostic methods for instance scintiscanning, angiography, bronchospirometry, and biopsy.

摘要

通过86只犬的胸部X光片对单侧同种异体肺移植术后病程进行了对照观察。术后第5天结束时,69%的存活动物移植肺出现了放射形态学改变,术后第9天这一比例为80%。将胸部X光片的描述性表现与其尸检病因结果进行了比较。由排斥反应、手术以及由排斥反应和手术共同导致的现象在发生时间上可通过统计学方法区分开来。——通过这种方式,移植肺的部分或全部阴影是术后第5天之后排斥反应的征象,气胸是术后第5天之前术后并发症的征象,而在此之后则是排斥反应的征象。——放射学检查结果受到动物在拍摄X光片时体位不佳以及胸部骨骼部分遮挡的限制。胸部X光片的诊断价值大大降低,因为对放射形态学表现进行鉴别诊断需要借助其他诊断方法,例如闪烁扫描、血管造影、支气管肺量测定法以及活检。

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