中老年人心源性肺水肿影像诊断  

The Imaging Diagnosis of Cardiac Pulmonary Edema in the Middle-aged and Elderly

作　　者：余任辉 陈惠林 

机构地区：[1]广东省汕头市新兴路汕头市中医医院医学影像科,广东汕头515000

出　　处：《中外医疗》2014年第34期36-37,共2页China & Foreign Medical Treatment

摘　　要：目的探讨中老年人心源性肺水肿的影响表现和特征,为临床诊断提供一定的参考。方法回顾性分析该院在2010年4月—2012年4月收治的94例中老年人心源性肺水肿患者的CT资料,分析其影像学表现与特征。结果该组94例心源性肺水肿患者中,两侧胸腔积液患者77例(81.91%),肺泡性水肿32例(34.04%),间质性水肿54例(57.45%),心脏外形改变94例(100%),肺淤血改变16例(17.02%)。结论心源性肺水肿变现为特异性的影像学特征,通过CT扫描,早期行CT检查,可以有效提升诊断率。Objective To investigate the imaging manifestations and characteristics of cardiac pulmonary edema in the middleaged and elderly so as to provide a reference for clinical diagnosis. Methods A retrospective analysis was conducted on the CT data of 94 middle-aged and elderly people with cardiac pulmonary edema admitted in our hospital from April 2010 to April 2012. And the imaging manifestations and characteristics of the patients were analyzed. Results Of the 94 cases with cardiac pulmonary edema, there were 77 cases （81.91%） with bilateral pleural effusion, 32 cases （34.04%） with alveolar edema, 54 cases （57.45%） with interstitial edema, 94 cases （100%） with heart shape changes, 16 cases （17.02%） with lung congestion changes. Conclusion Cardiac pulmonary edema has specific imaging features. Early CT scanning and examination can effectively improve the rate of diagnosis.

关 键 词：心源性肺水肿 影像 CT扫描 胸腔积液 

分 类 号：R59[医药卫生—内科学]