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["休克肺的诊断"]

[Diagnosis of "shock lung"].

作者信息

Grigorían G O, Florikian A K, Goloborot'ko N K, Mikhaĭlenko V V

出版信息

Vestn Khir Im I I Grek. 1978 Dec;121(12):31-3.

PMID:741567
Abstract

The dynamic x-ray changes in the lungs of 57 cases with severe non-thoracic traumas and shock were studied. 18 patients showed a symmetric injury to the lung, increase of the size of the pulmonary roots and dramatic markedness of the vascular picture within the first hours after trauma. The small peripheral vessels dilated and became very visible. Alveolar oedema was found in 39 patients 6 to 12 hours after trauma. In 11 patients alveolar oedema progressed to massive oedema. Two phases were found in the development of alveolar oedema: microfocal and macrofocal ones.

摘要

对57例严重非胸部创伤和休克患者肺部的动态X线变化进行了研究。18例患者在创伤后的最初数小时内肺部出现对称性损伤,肺门增大,血管影像显著增粗。外周小血管扩张且清晰可见。39例患者在创伤后6至12小时出现肺泡水肿。11例患者的肺泡水肿进展为大片水肿。肺泡水肿的发展过程分为两个阶段:微灶性和巨灶性。

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