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作者分析60例急性哮喘患者在急诊室所拍的90次胸片资料。男性12例、女性48例,平均39(17~74)岁。住入急诊室时肺活量为1.58±0.12L,第一秒最大呼气量为0.94±0.08L。19例次(21%)终于住院治疗。胸部 X 线表现为:①正常50例(55%),②肺过度充气33例(37%),但对临床诊断和处理帮助不大,③轻度间质病变6例(7%),但同以往胸片相比,无明显改变。另1例临床上有发热伴咯脓痰者,胸片表现为新出现的肺泡浸润,以后证明为过敏性肺曲菌病。本组胸片未见无症状的气胸和纵隔积气 X 线
The authors analyzed 60 chest radiographs taken from 60 patients with acute asthma in the emergency room. There were 12 males and 48 females, with an average of 39 (17 ~ 74) years old. When entering the emergency room, vital capacity was 1.58 ± 0.12L, the maximum expiratory volume in the first second was 0.94 ± 0.08L. 19 cases (21%) were finally hospitalized. Chest X-ray showed: ① normal 50 cases (55%), ② pulmonary over-inflated in 33 cases (37%), but not for clinical diagnosis and treatment, ③ mild interstitial disease in 6 cases (7%), Compared with the previous chest, no significant change. Another case of clinical fever with purulent sputum, chest radiograph showed a new alveolar infiltration, later proved to be anaphylactoid pulmonary aspergillosis. No chest radiography in this group of asymptomatic pneumothorax and mediastinal gas X-ray