Novak D, Rothenberger W
Prakt Anaesth. 1979 Apr;14(2):162-73.
The radiological changes and clinical symptoms induced by in 109 persons by inhalation of irritant gases are described. Seven persons developed pulmonary oedema, abnormal radiological manifestations were observed in 19 while 81 persons there were no detectable radiological changes. Toxic pulmonary oedema is frequently detected earlier by roentgenologic means than clinically. The length of the radiological latent period depends not only on the concentration of the irritant but also on the type of the gaseous substance. The first roentgenologic signs of toxic pulmonary oedema are broadening and blurring of the outline of the hilar vessels. The pulmonary changes are characterized initially by disseminated small to medium sized shadows in the central portion and base of the lungs; later they tend to spread and merge.
描述了109人吸入刺激性气体后引起的放射学变化和临床症状。7人发生肺水肿，19人观察到异常放射学表现，81人未发现放射学变化。中毒性肺水肿通过放射学手段往往比临床更早检测到。放射学潜伏期的长短不仅取决于刺激性物质的浓度，还取决于气态物质的类型。中毒性肺水肿的最初放射学征象是肺门血管轮廓增宽和模糊。肺部变化最初表现为肺中央和底部散在的中小阴影；随后它们倾向于扩散和融合。
