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[创伤及外科手术后急性呼吸功能不全的临床解剖学特征]

[Clinico-anatomic characteristics of acute respiratory insufficiency occurring after trauma and surgical interventions].

作者信息

Timofeev I V

出版信息

Anesteziol Reanimatol. 1990 May-Jun(3):43-7.

PMID:2396770
Abstract

The results of clinical and anatomical studies of acute respiratory insufficiency in patients suffering from hypotensive reactions caused by blood loss, shock, fat and thromboembolism and by acute left ventricular insufficiency are discussed. The role of impaired pulmonary circulation due to general circulatory disturbances in the development of acute respiratory insufficiency and the role of this syndrome in the onset of bilateral polysegment pneumonia after trauma and surgery are demonstrated. Acute diffuse alveolitis, interstitial intraalveolar edema, with the formation of hyalin membranes, atelectasis and emphysema are the main morphological signs of acute respiratory insufficiency. Massive infusion-transfusion therapy may aggravate acute respiratory insufficiency.

摘要

本文讨论了因失血、休克、脂肪和血栓栓塞以及急性左心室功能不全引起的低血压反应患者急性呼吸功能不全的临床和解剖学研究结果。阐述了全身循环障碍导致的肺循环受损在急性呼吸功能不全发生中的作用,以及该综合征在创伤和手术后双侧多节段肺炎发病中的作用。急性弥漫性肺泡炎、间质肺泡水肿、透明膜形成、肺不张和肺气肿是急性呼吸功能不全的主要形态学特征。大量输液输血治疗可能会加重急性呼吸功能不全。

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