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[血液循环和血管通透性紊乱所致肺部急性病变的X线诊断]

[Roentgenological diagnosis of acute lesions of the lungs with disorders of blood circulation and vascular permeability].

作者信息

Trofimova T N, Itskovich I E, Serikov V B, Loĭt A A

出版信息

Probl Tuberk. 1990(7):3-7.

PMID:2235946
Abstract

To specify differential and diagnostic criteria of hemodynamic and non-hemodynamic pulmonary edema, canine experimental simulation (15 trials) of different types of abnormal hemodynamic and lung capillary permeability parameters was carried out. The X-ray pictures of 71 patients with and acute diffuse lesion of the pulmonary vascular channel (including 51 with adult respiratory distress and 20 with hemodynamic pulmonary edema) was analysed. The findings substantiated the possibility of making a differential diagnosis of pulmonary edema of various genesis. Symptom complexes, typical of predominantly higher permeability of the lung capillaries and hemodynamic disturbance, were formulated.

摘要

为明确血流动力学性和非血流动力学性肺水肿的鉴别及诊断标准,对不同类型血流动力学异常和肺毛细血管通透性参数进行了犬类实验模拟(15次试验)。分析了71例肺血管通道急性弥漫性病变患者(包括51例成人呼吸窘迫综合征患者和20例血流动力学性肺水肿患者)的X线胸片。研究结果证实了对不同病因肺水肿进行鉴别诊断的可能性。制定了以肺毛细血管通透性明显增高和血流动力学紊乱为主的典型症状组合。

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