Druzhinina V S, Fetisov V M, Solomin G V
Vestn Rentgenol Radiol. 1994 Jul-Aug(4):5-10.
The authors review the data of x-ray functional examinations of 525 patients with acute parenchymatoys pneumonia, 393 convalescents after pneumonia 3-6 months after the disease and analyze 480 case histories of patients, hospitalized for acute pneumonia 10 years ago. Development, x-ray picture, and resolution of the process are described. Besides traditional x-ray examination, roentgenography in oblique projections and pulmonary sonography are recommended in order to specify the anatomic changes in the lungs. Functional peculiarities of the involved and intact lungs were studied. Altogether 92.4% of convalescents are discharged from hospital with changed pulmonary pattern and, rather often, with infiltration of the parenchyma in the subpieural portions of the involved lobes and segments, as well as with disordered respiratory function of the lungs. Unfavorable outcomes in remote period after disease (pneumosclerosis, pneumocirrhosis, emphysema, chronic pneumonia) are observed mainly in subjects discharged from hospital before complete clinical cure.
作者回顾了525例急性实质性肺炎患者的X线功能检查数据，以及393例肺炎发病后3至6个月的康复者的数据，并分析了10年前因急性肺炎住院的480例患者的病历。描述了该疾病的发展、X线表现及转归。除了传统的X线检查外，建议采用斜位投照X线摄影和肺部超声检查，以明确肺部的解剖学变化。研究了受累肺和未受累肺的功能特点。共有92.4%的康复者出院时肺部影像改变，且相当常见的是受累肺叶和肺段胸膜下部分实质浸润，以及肺呼吸功能紊乱。疾病远期不良结局（肺硬化、肺硬变、肺气肿、慢性肺炎）主要见于临床未完全治愈就出院的患者。
