Rackow E C, Fein I A, Sprung C, Grodman R S
Am J Med. 1978 Jun;64(6):1084-8. doi: 10.1016/0002-9343(78)90466-7.
Pulmonary edema fluid analyses and hemodynamic evaluations were performed in two uremic patients with acute pulmonary edema. The colloid osmotic pressure of the pulmonary edema fluid ranged from 57 per cent to 93 per cent that of the serum. Although cardiac function was normal in both patients, the serum colloid osmotic pressure--pulmonary artery wedge pressure gradients were markedly reduced. Uremic pulmonary edema is the result of alterations of pulmonary intravascular Starling forces and increases in pulmonary capillary membrane permeability, allowing for the efflux of protein-rich fluid from the capillaries into the lung.
对两名患有急性肺水肿的尿毒症患者进行了肺水肿液分析和血流动力学评估。肺水肿液的胶体渗透压为血清胶体渗透压的57%至93%。尽管两名患者的心功能均正常，但血清胶体渗透压与肺动脉楔压梯度均明显降低。尿毒症性肺水肿是肺血管内斯塔林力改变以及肺毛细血管膜通透性增加的结果，使得富含蛋白质的液体从毛细血管流入肺内。
