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间质性肺水肿是肺泡性肺水肿的前躯。间质性肺水肿的诊断需依据接触毒物的历史,特别是刺激性毒物的特性和吸入量;特征性的症状和体征如胸闷、气短,肺部细小干鸣或捻发音,白细胞和血小板反应性增加,X线胸片有纹理改变特别是Kerley’s B线征。 治疗上,强调早期处理间质性肺水肿。肺水肿时使用氧是必要的,但必须配合使用其他药物如肾上腺皮质激素、二甲基硅酮气雾剂、东莨菪碱等,对消除水肿十分重要。
Interstitial pulmonary edema is the precursor to alveolar pulmonary edema. The diagnosis of interstitial pulmonary edema should be based on the history of exposure to poisons, especially the characteristics and inhalation volume of irritating poisons; characteristic signs and symptoms such as chest tightness, shortness of breath, fine lungs or twisting of the lungs, white blood cell and platelet reactivity Increased, X-ray chest has texture changes, especially Kerley’s B line sign. Treatment, emphasizing the early treatment of interstitial pulmonary edema. Pulmonary edema, the use of oxygen is necessary, but must be used in conjunction with other drugs such as adrenal cortex hormones, dimethyl silicone aerosols, scopolamine, etc., to eliminate edema is very important.