Assessment of the size of the liver: roentgenologic considerations.
Assessment of the size of the liver: roentgenologic considerations.
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肝脏大小的评估：X射线检查的考虑。
DOI：
10.1056/nejm195808072590604
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发表时间：
1958
期刊：
影响因子：
--
通讯作者：
V. Sayegh
中科院分区：
文献类型：
--
作者：
F. Fleischner;V. Sayegh
对肝脏大小的评估常常不稳定。通过触诊或X线平片确定的下缘向下位移有时会产生误导。人们普遍认为，准确评估肝脏大小还需要有关其上边界的信息，如膈肌位置所示。然而，人们普遍不认识的是，肝脏形状和位置的其他体质变化可能会改变临床发现的意义。因此，在大量的临床记录和已发表的报告中，人们可能会发现这样的说法：“肝脏边缘可触及几个手指宽度......
ASSESSMENT of the size of the liver is often erratic. Downward displacement of the lower edge as determined by palpation or the plain roentgenogram is sometimes misleading. It is generally understood that an accurate evaluation of liver size also requires information concerning its upper border as manifested by the position of the diaphragm. What is not commonly appreciated, however, is the fact that other constitutional variations in shape and position of the liver may alter the significance of clinical findings. Thus, in numerous clinical records and published reports one may find statements that "the liver edge was palpable several fingerbreadths . . .