Van Gelderen W F
Department of Radiology, Tygerberg Hospital, Cape Town, South Africa.
Australas Radiol. 1994 May;38(2):93-6. doi: 10.1111/j.1440-1673.1994.tb00143.x.
Vanishing fluid collections in interlobar fissures, associated with congestive cardiac failure, are uncommon but well-recognized. Previous studies have highlighted the occurrence of solitary vanishing 'tumours', but in the study reported here 7 out of 12 consecutive patients presented with more than one interlobar fluid collection simulating pulmonary tumours. In most cases a lateral radiograph confirmed the correct diagnosis and in all cases follow-up radiographs demonstrated resolution of all pleural fluid collections. In one case ultrasound was helpful. Making the correct diagnosis is very important in order to prevent inappropriate investigations and treatment such as biopsy or surgery. It is suggested that unusual pleural fluid collections may be more common in communities where pleural disease following stab wounds or tuberculosis are more prevalent.
与充血性心力衰竭相关的叶间裂积液消失情况并不常见，但已得到充分认识。既往研究强调了孤立性消失性“肿瘤”的发生，但在本报告的研究中，12例连续患者中有7例出现了不止一处叶间积液，形似肺部肿瘤。在大多数情况下，侧位胸片可确诊，所有病例的随访胸片均显示所有胸腔积液消失。有1例超声检查有帮助。做出正确诊断对于避免不恰当的检查和治疗（如活检或手术）非常重要。有人提出，在刺伤后发生胸膜疾病或结核病更为普遍的社区，不寻常的胸腔积液可能更为常见。
