长期大量饮酒肺炎患者并发ALL/ARDS的临床研究  

Clinical study on susceptibility and pathogenesis of ALL/ARDS in Alcoholics with pneumonia

作　　者：王秀娟[1] 魏海苓[1] 

机构地区：[1]天津市人民医院急诊科,天津300191

出　　处：《临床肺科杂志》2012年第11期1997-1999,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨长期大量饮酒者患肺炎后并发ALL/ARDS的易发性及发病机制。方法比较长期大量饮酒组与不饮酒组肺炎患者并发ALL/ARDS的比例,测定两组间的TNF-a值,并测定ALL/ARDS患者的血管外肺水指数(EVLWI)、肺血管通透性指数(PVPI)。结果长期大量饮酒肺炎组并发ALL/ARDS的比例明显高于不饮酒肺炎组,TNF-a值及肺水指数明显增高。结论长期大量饮酒者发生肺炎后易并发ALL/ARDS,应提高关注度,早诊断及早治疗。Objective To discuss the susceptibility and pathogenesis of ALL/ARDS in alcoholics suffering from pneumonia. Method The proportion of ALL/ARDS in the alcoholics with pneumonia and nondrinkers with pneumonia were compared, and their val- ue of TNF-a, EVLWI and PVPI were detected. Results The proportion of ALL/ARDS of alcoholics suffering from pneumonia was obvi- ously higher than that of nondrinker with pneumonia, and the index of TNF-a and EVLWI were markedly increased. Conclusion The alcoholics with pneumonia are easily to be complicated by ALL/ARDS, which should be paid more attention and the patient should be diag- nosed and treated early.

关 键 词：酗酒 急性呼吸窘迫综合征 肿瘤坏死因子-A 血管外肺水指数 肺血管通透性指数 

分 类 号：R563.8[医药卫生—呼吸系统] R563.1[医药卫生—内科学]