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目的探讨X线动态观察老年急性呼吸窘迫综合征(ARDS)的临床表现及变化规律。方法取32例符合ARDS诊断标准的老年患者进行X线胸片动态观察。结果23例发病前期X线表现为肺内单发片状浸润灶,9例胸片无异常表现;14例病变早期的X线表现为肺内大片状浸润,多发病灶,单发病灶18例;病变迅速进展.表现为双肺野呈“毛玻璃”样并有片状浸润改变16例,“白肺”14例,肺野呈“毛玻璃”样2例。18例病变进展,14例经治疗后肺野透亮度改善,病灶稍有吸收。结论X线动态观察可反映老年ARDS的变化特点,为临床诊断和治疗以及预后判断提供重要影像学依据。
Objective To investigate the clinical manifestations and changes of X-ray dynamic observation of acute respiratory distress syndrome (ARDS) in the elderly. Methods Thirty-two elderly patients with ARDS diagnostic criteria were examined by X-ray. Results Of the 23 cases, X-ray showed single flake infiltration in the lung and no abnormality of chest radiography in 9 cases. The X-ray findings in early stage of X-ray showed plentiful infiltration, multiple lesions and single lesion in 14 cases ; The rapid progress of the disease .It showed that the lung field was “ground glass ” like and there are 16 cases of flake infiltration change, “white lung ” in 14 cases, lung field showed “ground glass ” in 2 cases. 18 cases of disease progression, 14 cases of lung field after treatment through the brightness improvement, the lesion slightly absorbed. Conclusion X-ray dynamic observation can reflect the characteristics of ARDS in the elderly and provide important imaging evidence for clinical diagnosis and treatment and prognosis.