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小儿急性高原肺水肿56例临床X线分析 被引量:4

AN ANALYSIS OF X-RAY PICTURES OF PULMONARY EDEMA OF HIGH ALTITUDE IN CHILDREN
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摘要 采用回顾法对经临床治疗且治疗前后摄取X线片诊断明确的 5 6例小儿急性高原肺水肿进行分析。 5 6例中有 4例为进藏 5个月 6年中发生迟发性高原肺水肿 ;5 0例为乘飞机进藏 6 72h发生急性高原肺水肿 ;2例因病情危重延误治疗抢救无效死亡。 5 6例均为汉族 ,年龄 5个月 12岁。小儿急性高原肺水肿约占高原肺水肿的 6 88%。 A retrospective analysis was made of 56 children with a definite diagnosis of pulmonary edema,in whom x-ray films were taken before and after treatment.Four patients had been in Tibet for five months to 6 years.In 50 patients,pulmonary edema occurred 6~72 hours after they flied into Tibet.Two of them died during treatment because of delayed treatment and critical conditions.All 56 patients were of Han nationality,aged 5 months to 12 years.Childhood acute pulmonary edema accountes for 69% of all high altitude pulmonary edema cases.Childhood pulmonary edema had an acute onset,and it ran a fulminating course.chest films usually showed disseminating alveolar changes,and the diagnosis may be misleading.X-ray physicians should get familiar with the diagnosis to avoid a delayed diagnosis and treatment.
出处 《解放军医学杂志》 CAS CSCD 北大核心 2001年第4期305-307,共3页 Medical Journal of Chinese People's Liberation Army
关键词 高原肺水肿 X线诊断 儿童 pulmonary edema,childhood high altitude X-ray diagnosis
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