尿毒症肺的临床X线表现(附36例报告)

Clinical and Radiological Manifestations of Uremic Lung(An Analysis of 36 Cases)

本文报告一组36例尿毒症肺,其中间质性肺水肿5例,肺泡性肺水肿31例。后者可分为四种类型:蝶翼状阴影(5/31)、弥漫性阴影(21/31)、孤立小片状阴影(2/31)和大叶性阴影(3/31)。肺部阴影具有右肺多于左肺、内中带多于外带、中下野多于上野和变化较快的特点。X 线下,尿毒症肺和心源性肺水肿常难以区分。本文还对尿毒症肺的鉴别诊断要点进行了分析讨论,并强调临床资料的重要性。

36 casea of uremic lung are presented in this paper,among which 5 cases areinterstitial pulmonary edema and 31 cases are alveolar pulmonary edema.The latter may be classified as:1.butterfly pinnas opacity(5/31);2.diffuse opacity(21/31);3.solitary and tiny lamena opacity(2/31);4.lobar opacity(3/31).The opacities occur more in right lung than in left lung,more in internal andmiddle zones than in external and more in middle and lower fields than in upper field,with characteristicof easy change in their shape,s...