论文部分内容阅读
目的:探讨肾综合征出血热(HFRS)原发肺部损害的发生发展规律。方法:对具有肺部影像学资料的肾综合征出血热124例中发生肺部损害的42例进行回顾性分析。结果:HFRS原发肺部损害发生于发热期、低血压休克期和少尿期,以低血压休克期发生率最高,恢复于多尿期和恢复期,多呈自限性过程。临床症状多不明显,肺部损害以胸腔积液和实质性病变为主。呼吸费力、呼吸困难是肺部损害加重的指征。肺部CT检查可以尽早发现肺部损害。结论:HFRS原发肺部损害是危重型患者形成和死亡的重要原因和促进因素。
Objective: To investigate the occurrence and development of primary lung injury in hemorrhagic fever with renal syndrome (HFRS). Methods: A retrospective analysis was performed on 42 cases of lung damage in 124 cases of hemorrhagic fever with renal syndrome with lung imaging data. Results: The primary lung injury of HFRS occurred in the period of fever, hypotension and oliguria. The incidence of HFRS was the highest, resumed in polyuria and convalescence, mostly self-limiting. More obvious clinical symptoms, lung damage to pleural effusion and substantial lesions. Breathing, difficulty breathing, is an indication of increased lung damage. Lung CT can detect lung damage as soon as possible. Conclusion: The primary lung injury of HFRS is an important and contributing factor in the formation and death of critically ill patients.