| 非心源性肺水肿的X线影像表现 |
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| 引用本文： | 钱慎明,沈海林,王聚宝,吴家林,杜红娣,周振堰,钱春红. 非心源性肺水肿的X线影像表现[J]. 江苏医药, 2011, 37(13) |
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| 作者姓名： | 钱慎明 沈海林 王聚宝 吴家林 杜红娣 周振堰 钱春红 |
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| 作者单位： | 1. 上海交通大学医学院苏州九龙医院放射科苏州,苏州市,215021
2. 大学附属第一医院影像中心 |
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| 摘 要： | 目的探讨非心源性肺水肿(NCPE)的胸部X线影像表现。方法回顾性分析35例NCPE患者胸片。其中,溺水后肺水肿21例(60%),神经源性肺水肿9例(26%),有害气体中毒性肺水肿2例(6%),有机磷农药中毒肺水肿2例(6%),百草枯中毒肺水肿1例(3%)。结果早期表现为两肺纹理增多、增粗、模糊或伴弥漫小点状模糊影9例(26%);中晚期表现为多发斑片状阴影8例(23%)或融合成大片状阴影10例(29%),云雾状模糊阴影5例(14%)及多发棉球状阴影3例(8.5%)。所有病例均无心影改变。结论各类NCPE的病理机制不尽相同,但最终均导致肺毛细血管渗透性改变,肺血容量过高,血浆渗透压过低等,液体渗入肺泡及肺泡间隙,形成弥漫性肺水肿。
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| 关 键 词： | 非心源性肺水肿 X线诊断 |
The X-ray features of noncardiogenic pulmonary edema |
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| QIAN Shenming,SHEN Hailin,WANG Jubao,et al.. The X-ray features of noncardiogenic pulmonary edema[J]. Jiangsu Medical Journal, 2011, 37(13) |
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| Authors: | QIAN Shenming SHEN Hailin WANG Jubao et al. |
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| Affiliation: | QIAN Shenming,SHEN Hailin,WANG Jubao,et al.Department of Radiology,Affiliated Kowloon Hospital,Shanghai Jiaotong University School of Medicine,Suzhou 215021,CHINA |
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| Abstract: | Objective To investigate the X-ray features of noncardiogenic pulmonary edema(NCPE).Methods Data of 35 NCPE cases and chest radiographies were retrospectively analysised,of whom 21 cases(60%) suffered from drowning,9 cases(26%) from neurogenic pulmonary edema(NPE),2 cases(6%) from toxic pulmonary edema,2 cases(6%) from organophosphorus pesticide poisoning,and 1 case(3%) from parquat intoxication.Results In early stage,chest radiographies showed pulmonary multiplied,thickened markings with punctiform vague s... |
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| Keywords: | Noncardiogenic pulmonary edema Radiodiagnosis |
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