急性高原肺水肿肺部X线征象分析  

AN ANALYSIS OF X-RAY SIGNS OF ACUTE HIGH ALTITUDE PULMONARY EDEMA

作　　者：傅宝文[1] 齐海燕[1] 

机构地区：[1]解放军第四医院

出　　处：《高原医学杂志》1996年第1期47-49,共3页Journal of High Altitude Medicine

摘　　要：本文分析１４１例特高海拔区（４８００～５３７０ｍ）现场医疗Ｘ线胸片资料。ＨＡＰＥ的直接征象有间质病变、肺野实变和混合病灶三种表现形式，分析间质病变中的“三模糊征”、“面纱征”，考虑为肺部血管通透性增强组织液外渗所致之间质性肺水肿了间质性肺水肿与限局性代偿性肺气肿，共同构成“筛扎征”。ＨＡＰＥ的间接征象，有局限性代偿性肺气肿、间隔线和胸膜改变，叶间胸膜显影与心脏边缘模糊，多为间质性肺水肿和发生在浆膜组织的组织液外渗共同作用的结果。In the analysis it was found that High Altitude Pulmonary Edema(HAPE)showed threetypes of direct X-ray signs,interstitial change,consolidation of lung field and mixed focus.The“three indistinction signs”,“gauzy face sign”of interstitial change were the signs of interstitialpulmonary edema caused by tissue fluid extravasation.The interstitial pulmonary edema and localcompensatory etnphysema both formed the.“opening sieve sign”The local compensatory emphy- sema, interlobar line and pleura change were the indirect signs.The Interlobar pleura image andheart border indistinction were mostly caused by interstitial edema and extravasation in serousfluid.

关 键 词：急性 肺水肿 肺部 高原 X线诊断 

分 类 号：R816.41[医药卫生—放射医学] R541.630.4[医药卫生—临床医学]