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[尿毒症肺]

[The uremic lung].

作者信息

Chen W B

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1989 Oct;12(5):262-4, 317.

PMID:2632029
Abstract

27 cases of uremia with abnormal appearances on the chest films were analysed. The results showed that the clinical features were cough, expectoration dyspnea and hemoptysis. However, the degree of these symptoms was relatively mild as judged from the amount of pulmonary edema found on the chest films. The chest X-ray finding in these group of patients were characterized by pulmonary blood stasis, interstitial edema of the lung and edematous alveoli. The pathogenesis of uremic lung was said to be related to blood urea nitrogen and creatinine retention and the concurrent presence of left side heart failure may also play a role. Hemodialysis and other comprehensive treatments could help the patients with uremic lung for relief the symptoms. But the fundamental managements to improve the prognosis for this disease are early treatment of the primary renal diseases, in order to prevent the occurrence of renal failure. Kidney transplantation should be advised.

摘要

对27例胸部X线表现异常的尿毒症患者进行了分析。结果显示,临床特征为咳嗽、咳痰、呼吸困难和咯血。然而,从胸部X线片上发现的肺水肿程度判断,这些症状的程度相对较轻。这组患者的胸部X线表现特征为肺淤血、肺间质水肿和肺泡水肿。尿毒症肺的发病机制据说是与血尿素氮和肌酐潴留有关,同时左侧心力衰竭也可能起作用。血液透析和其他综合治疗有助于尿毒症肺患者缓解症状。但改善该病预后的根本措施是早期治疗原发性肾脏疾病,以防止肾衰竭的发生。建议进行肾移植。

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