24例尿毒症肺损害X光表现的临床分析

Clincal analysis of 24 cases in uremic lung.

目的探讨尿毒症所致肺损害的胸部 X 光片表现及预后。方法对2003年3月至2003年6月广东省东莞市石龙人民医院收治的24例尿毒症肺损害患者(尿毒症肺组)进行分析,并与16例非尿毒症肺损害患者(非尿毒症肺组)的胸部 X 光片相比较。结果尿毒症所致肺损害的胸部 X 线表现多种多样,血液透析后可得到改善;与非尿毒症肺组相比尿毒症组的血红蛋白(Hb)、血浆白蛋白(ALB)、二氧化碳合力(CO_2CP)降低(P 均<0.05),而血尿素氮(BUN)、血肌酐(SCr)升高(均 P<0.05),尿毒症肺的发生与透析不充分和透析间期体重增长过多有关。结论尿毒症所致的肺损害在临床上较常见,应予以重视;其发病机制复杂,胸部 X 线检查对诊断有一定帮助,血液透析是一种有效的治疗的治疗措施。

Objective To investigate the manifestation of X-ray chest films and prognosis of pulmonary damage caused by uremia.Methods Twenty-four cases of uremic patients with pulmonary damage(uremic lung group)were analyzed and compared with 16 cases of uremic patients without pulmonary damage(mon-uremic lung group).Results The man- ifestations of clinic and X-ray chest films in 24 cases of uremic patients with pulmonary damage were various and im- proved after hemodialysis.Hemoglobin(Hb),albumin(ALB),carbon dioxide combining power(CO_2CP)in uremic lung group were lower(P<0.05)and blood urea nitrogen(BUN),serum ereatinine(SCr)were higher(P<0.05)than those of non-uremic lung group.The incidence of uremic lung was associated with inadequate dialysis and more hemodialytic weight gains.Conclusion Pulmonary damage caused by uremia was common in the clinic,which should be stressed,Its pathogenesis was complicated,X-ray chest examination was to some extent helpful to diagnosis,hemodialvsis was an effi- cient measure in the treatment.