浅谈肺水肿x线表现及发病机制（X-ray manifestation and pathogenesis of pulmonary edema）.docVIP

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浅谈肺水肿x线表现及发病机制（X-ray manifestation and pathogenesis of pulmonary edema）.doc

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浅谈肺水肿x线表现及发病机制（X-ray manifestation and pathogenesis of pulmonary edema）

浅谈肺水肿x线表现及发病机制（X-ray manifestation and pathogenesis of pulmonary edema） [Key words] pulmonary edema, X-ray manifestation, pathogenesis In recent years, the understanding of the physiology and pathology of pulmonary circulation has been greatly improved due to the application of cardiac catheterization and angiocardiography, as well as other methods. At the same time, a good chest radiograph can be obtained because of the large C arm application, that is, in patients who are not quiet and difficult to breathe, so that the X-ray diagnosis of pulmonary edema is satisfactory. Four characteristics of X-ray findings of 1 pulmonary edema (1) peripheral pulmonary lucency: in the development of pulmonary edema completely symmetrical on both sides of the lung shadow, pointing around from the hilum to outside and below, but not in the shadow of chest wall. Between this shadow and the chest wall, there is approximately 2~4 cm wide translucent area as the typical manifestation. (2) the shadow of pulmonary edema: waist shadow pulmonary edema often have a depression in the lateral part, in the lung are located in the upper and middle fissure, in the left lung is the equivalent of the right upper lobe and lingula between the waist like depression, so that the shadow of pulmonary edema like the butterfly wings. (3) the area near the mediastinum: there is a clear area between the upper part of the shadow and the mediastinum, which makes the wing feature more obvious. (4) central part: the shadow of pulmonary edema is located in the central part, so a clear edge band can be seen in the lateral image along the anterior wall and the posterior wall of the chest cavity. The X-ray findings of pulmonary edema vary widely, typically bilaterally symmetrical shadows, but more often are bilateral asymmetrical shadows, or only one side of the lungs or one part of the lungs are shaded. But the mediastinal edge portion of the bright area and adjacent translucent areas or shadow waist like depressi