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目的:探讨高原性肺水肿影像学表现和临床价值,总结些许医学经验,从而为临床提供借鉴意义。方法:选取我院2010年9月-2012年9月这些年内收治的高原性肺水肿患者70例,将其作为研究对象,所有患者都自愿接受调查并服从所有准则。对所有患者进行胸部CT扫描检查,并由专业医师根据CT检查结果给出诊断结果。然后收集所有患者的临床资料,对其结果进行回顾性分析。结果:70例患者的影像表现为单侧或者双侧毛玻璃状、斑片状、片状影、肺门区团片状和弥漫性实变影,且经常为多个出现,主要在右侧。肺门变化为模糊或者增大。结论:影像检查可以清晰地反映出患者的病变部位,是诊断高原性肺水肿的一个很好的凭据,为制定出详细的医疗方案提供了依据,明显提高了治疗的有效率。
Objective: To investigate the imaging manifestations and clinical value of high altitude pulmonary edema, summarize some medical experience, and provide reference for clinical application. Methods: Seventy patients with high altitude pulmonary edema who were treated in our hospital from September 2010 to September 2012 were selected. All patients were volunteered for investigation and obeyed all the criteria. Chest CT scans were performed on all patients and results were given by a physician based on CT findings. All patients were then collected for clinical data and their results were retrospectively analyzed. Results: The images of 70 patients showed unilateral or bilateral frosted glassy, patchy, patchy, hilar patchy and diffuse consolidation and often appeared in multiple appearances, mainly on the right side. Hilar change is fuzzy or increased. Conclusion: The imaging examination can clearly reflect the location of the patient’s lesion and is a good evidence for diagnosing pulmonary edema in high altitude. It provides a basis for formulating a detailed medical plan and obviously improves the efficiency of the treatment.