Heinrichs W, Kraft B, Schild H, Halmagyi M
Klinik für Anästhesiologie, Universität Mainz.
Dtsch Med Wochenschr. 1988 Oct 14;113(41):1583-7. doi: 10.1055/s-2008-1067853.
Extravascular lung water (EVLW) was determined with the thermal-dye double-indicator method (119 individual measurements) in 23 patients in an intensive-care unit, and the results were compared with estimates made from largely standardized portable chest X-ray films, using the staging method of Sibbald as well as that of Halperin. There was a significant correlation with the measured EVLW for both methods. Radiologically "normal" films corresponded to a mean EVLW value of 8.4 ml/kg body-weight. Radiologically judged adjacent stages did not in all cases compare with corresponding measured EVLW values. But when EVLW values were clearly abnormal, the X-ray films always demonstrated massive interstitial or alveolar infiltrations. Measurement of EVLW enables one accurately to judge the fluid contents of the lung and is superior to the assessment of the chest X-ray film.
采用热染料双指示剂法（119次个体测量）对23例重症监护病房患者的血管外肺水（EVLW）进行了测定，并将结果与使用西博尔德分期法以及哈尔珀林分期法从基本标准化的便携式胸部X光片得出的估计值进行了比较。两种方法与测量的EVLW均存在显著相关性。放射学上“正常”的片子对应的平均EVLW值为8.4 ml/kg体重。放射学判断的相邻阶段并非在所有情况下都与相应的测量EVLW值相符。但当EVLW值明显异常时，X光片总是显示出大量的间质或肺泡浸润。EVLW的测量能够准确判断肺内的液体含量，优于胸部X光片评估。
