Hassenstein J, Riede U N, Mittermayer C, Sandritter W
Anasth Intensivther Notfallmed. 1980 Aug;15(4):340-9.
A case of shock-induced respiratory failure is reported and the diagnostic criteria of this condition are reviewed. As regards the anatomicopathological aspects the following factors are of prognostic importance: 1. pre-existing pulmonary disease, 2. integrity of the alveolar basal membranes, 3. proliferation of the pulmonary morphological elements, 4. development of immature collagenous and elastic fibres in the alveolar and extra-alveolar interspaces. A diagnostically reliable estimation of these factors is possible only by means of biopsy. Although this procedure carries some risks the incidence of complications is not higher than it is in respect of biopsies of other parenchymatous organs. However, it is advisable to reserve lung biopsies for those cases where all other non-invasive methods have failed to establish the diagnosis.
报告了一例休克诱发的呼吸衰竭病例，并对该病症的诊断标准进行了综述。关于解剖病理学方面，以下因素具有预后重要性：1. 既往肺部疾病；2. 肺泡基底膜的完整性；3. 肺形态学成分的增殖；4. 肺泡和肺泡外间隙中未成熟胶原纤维和弹性纤维的发育。只有通过活检才能对这些因素进行诊断性可靠评估。尽管该操作存在一些风险，但其并发症发生率并不高于其他实质性器官活检的并发症发生率。然而，建议仅在所有其他非侵入性方法均未能确诊的情况下才进行肺活检。
