Quieffin J, Capron F
Clinique pneumologique, Hôtel-Dieu de Paris.
Rev Pneumol Clin. 1992;48(4):149-56.
In the first part of this article the clinical and paraclinical criteria of intra-alveolar haemorrhages are reviewed. The principal signs and symptoms are dyspnoea, haemoptysis, anaemia and bilateral alveolar and interstitial opacities. Computerized tomography of the chest shows a non-systematized alveolar filling. In the second part, the cytological and histological criteria are considered; they are provided by examination of the alveolar lavage fluid and by lung biopsy. Finally, the main elements in the physiopathology and causes of these haemorrhages are successively described.
在本文的第一部分,回顾了肺泡内出血的临床和辅助临床标准。主要体征和症状为呼吸困难、咯血、贫血以及双侧肺泡和间质混浊。胸部计算机断层扫描显示为非系统性肺泡填充。在第二部分,考虑了细胞学和组织学标准;这些标准通过肺泡灌洗液体检查和肺活检提供。最后,依次描述了这些出血的病理生理学和病因中的主要因素。