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作 者:叶俊[1]
出 处:《中国实用医药》2007年第34期13-14,共2页China Practical Medicine
摘 要:目的探讨X线动态观察老年急性呼吸窘迫综合征(ARDS)的临床表现及变化规律。方法取32例符合ARDS诊断标准的老年患者进行X线胸片动态观察。结果23例发病前期X线表现为肺内单发片状浸润灶,9例胸片无异常表现;14例病变早期的X线表现为肺内大片状浸润,多发病灶,单发病灶18例;病变迅速进展.表现为双肺野呈"毛玻璃"样并有片状浸润改变16例,"白肺"14例,肺野呈"毛玻璃"样2例。18例病变进展,14例经治疗后肺野透亮度改善,病灶稍有吸收。结论X线动态观察可反映老年ARDS的变化特点,为临床诊断和治疗以及预后判断提供重要影像学依据。Objective Dynamic X-ray observation of elderly patients with acute respiratory distress syndrome(ARDS)clinical manifestations and changes in the law.Methods 32 cases admitted with the diagnosis of ARDS patients older standard X-ray dynamic observation.Results 23 cases of early onset of lung x-performance single flake invasive lesions,9 cases of abnormal chest X-ray performance;14 cases of early lesions of the lung x-performance large flake infiltration,multiple lesions,18 cases of single lesion;lesions rapid progress.Double-lung field performance for a 'ground glass' like flake and 16 cases of invasive change,'white lung' in 14 cases,lung field in a 'ground glass' like 2 cases.Lesions progress in 18 cases,14 cases were treated lung field through improved brightness,focus slightly absorption.Conclusion X-ray observation reflects the dynamic changes of the elderly ARDS for clinical diagnosis and treatment and provide important prognostic imaging basis.
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