早期肺水肿的临床及CT分析

Clinical And CT Analysis Of Early Pulmonary Edema

目的:通过分析16例早期肺水肿的临床及CT特征,为临床最常见的心源性肺水肿及尿毒性肺水肿的CT早期诊断提供一些有价值的依据,以期提高临床诊断及鉴别诊断的能力。材料与方法:回顾性分析2013年-2016年我院11例心源性肺水肿和5例尿毒症肺水肿早期CT征象。结果:肺充血10例(其中两上下肺静脉影扩张5例;上肺静脉增粗,下肺静脉变细5例),小毛玻璃影8例,小叶间隔增厚6例,胸膜下线4例,小叶内间质异常4例,"袖口征"6例,界面征2例,支气管血管束增粗4例,肺动脉高压5例,蜂窝征2例,肺门周围血管蒂增粗5例,少量心包积液6例,两侧胸膜反应7例,心脏外形增大改变13例。结论:CT不仅能早期发现各种原因引起的肺水肿,还可以发现合并感染,能较好的显示少量心包积液及胸膜反应,具有早期的诊断价值。

Purpose： To analyze the clinical and CT features of 16 cases of early pulmonary edema, early diagnosis and provide some valuable basis for CT the most common clinical cardiogenic pulmonary edema and uremic pulmonary edema, in order to improve the ability of clinical diagnosis and differential diagnosis. Materials and Methods： a retrospective analysis of our hospital in 2013 -2016 11 cases of cardiogenic pulmonary edema and pulmonary edema in 5 cases of uremia early signs of CT. Results： 10 cases of pulmonary congestion （ two of them under the shadow of pulmonary vein dilatation in 5 cases; pulmonary vein thickening, pulmonary vein thin in 5 cases） , 8 cases of 6 cases of small glass opacities, interlobular sep- tal thickening, 4 cases of chest membrane line, intralobular interstitial4 cases of abnormal, cuff syndrome in 6 cases, interface sign in 2 cases, 4 cases of bronchiolectasis, 5 cases of pulmonary arterial hypertension, honeycomb sign in 2 cases, 5 cases of hilar vascular pedicle thickening, 6 cases of a small pericardial effusion, 7 cases of bilateral pleurat reaction, increase heart shape change in 13 cases. Conclusion： CT not only can early discover various causes of lung edema, can also detect infection, can show a small pericardial effusion and pleural reaction better, with early diagnosis.