Snapper J R
Clin Chest Med. 1985 Sep;6(3):393-412.
Pulmonary edema can cause alterations in lung mechanics that directly contribute to clinical morbidity and mortality rates. Both the location of the edema fluid (interstitital versus alveolar pulmonary edema) and the etiology of the pulmonary edema contribute to the severity and type of abnormalities of lung mechanics observed. The alterations in lung mechanics associated with the adult respiratory distress syndrome may involve the direct effects of released mediators, alterations in pulmonary surfactant, and altered airway reactivity, as well as the direct effects of the edema fluid.
肺水肿可导致肺力学改变,直接影响临床发病率和死亡率。水肿液的位置(间质性肺水肿与肺泡性肺水肿)以及肺水肿的病因都会影响所观察到的肺力学异常的严重程度和类型。与成人呼吸窘迫综合征相关的肺力学改变可能涉及释放的介质的直接作用、肺表面活性物质的改变、气道反应性的改变以及水肿液的直接作用。