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血管外肺水与肺血管通透性的监测及临床应用

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摘要 1血管外肺水（ EVLW） EVLW是指肺内除血管内以外的其他所有液体,包括细胞内液、肺间质内液及肺泡内液。一般情况下细胞内液比较固定,肺间质内液及肺泡内液则容易变化,可反映肺水肿的严重程度,临床常用血管外肺水指数（ELWI）表示,ELWI=EVLW（ml）/体重（kg）,多数人认为ELWI的正常值在3.0~7.0ml/kg,关于肺水肿时ELWI的数值意见不一,一般认为〉7.0 ml/kg提示存在肺水肿。
作者 张昊 刘大为
机构地区 中国医学科学院肿瘤医院重症医学科 中国医学科学院北京协和医院重症医学科
出处 《中国医刊》 CAS 2014年第5期30-33,共4页 Chinese Journal of Medicine
关键词 肺血管通透性 血管外肺水 临床应用 监测 细胞内液 肺水肿 EVLW 肺泡内
分类号 R56 [医药卫生—呼吸系统]
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参考文献24

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二级参考文献18

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共引文献23

中国医刊
2014年 第5期

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