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[心肌梗死中的肺部变化]

[Pulmonary changes in myocardial infarct].

作者信息

Nikolov S, Staneva D

出版信息

Vutr Boles. 1978;17(1):56-61.

PMID:654221
Abstract

The authors examined 90 patients with myocardial infarction with a view to the lung changes developed and especially to the manifestations of pulmonary stasis. Series of face roentgenographies of the lungs were made of the patients in lying down position. In 76,7 per cent of the patients X-ray findings of pulmonary stasis were found. The dilated veins in the upper lung lobes are the earliest and most frequent manifestations, suggesting congestion. They are found in 23,3 per cent of the cases. Most important, among the X-ray findings, according to the authors, are those of perivascular edema--hilus images with widened and indistinct lines (24,4%). The X-ray findings of lung congestion and interstitial edema are early symptoms of pulmonary edema, in case the physical data from the lung examinations are negative. The therapeutic measures, at that stage, could prevent the development of a severe and very often fatal edema of the lungs.

摘要

作者检查了90例心肌梗死患者,以观察所出现的肺部变化,尤其是肺淤血的表现。对这些患者进行了卧位肺部系列正面X线摄影。在76.7%的患者中发现了肺淤血的X线表现。上肺叶静脉扩张是最早且最常见的表现,提示充血。在23.3%的病例中可发现。作者认为,在X线表现中,最重要的是血管周围水肿的表现——肺门影像线条增宽且模糊(24.4%)。如果肺部检查的体格检查数据为阴性,肺充血和间质性水肿的X线表现是肺水肿的早期症状。在那个阶段采取治疗措施可以预防严重且往往致命的肺水肿的发展。

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