Ousehal A, Essadki O, Abdelouafi A, Kadiri R
Service Central de Radiologie, CHU Ibn Rochd, Casablanca, Maroc.
Ann Radiol (Paris). 1993;36(4):303-9.
The authors report twenty-eight cases of superior vena cava thrombosis. They try to establish a correlation between the radiological features of thrombosis and the etiology. The etiology was Behçet's disease in 64% of cases, lung cancers in 14%, the mediastinal tuberculosis in 14%, systemic lupus erythematosus in 3.5% and undetermined origin in 7%. A normal meiastinal appearance slight widening of the superior mediastinum is noted in Behçet's disease, systemic lupus erythematosus and tuberculous mediastinal fibrosis. Superior vena cava thrombosis is extensive in Behçet's disease involving the subclavian vein and the azygos vein. An obvious widening of the mediastin is noted in lung cancers and tuberculous mediastinal lymphadenopathy.
作者报告了28例上腔静脉血栓形成病例。他们试图建立血栓形成的放射学特征与病因之间的相关性。病因方面,64%的病例为白塞病,14%为肺癌,14%为纵隔结核,3.5%为系统性红斑狼疮,7%病因不明。在白塞病、系统性红斑狼疮和结核性纵隔纤维化中,纵隔外观正常或上纵隔略有增宽。白塞病中的上腔静脉血栓形成广泛,累及锁骨下静脉和奇静脉。肺癌和结核性纵隔淋巴结病可见纵隔明显增宽。