Медицинская литература. Новинки

 

 

 

 

 

 

Синдромы острой респираторной недостаточности легких в рентгенологическом изображении (Отек легких и дистресс-синдром)

Вы можете загрузить полный текст статьи в формате pdf

Ключевые слова:

Литература:

X-ray Appearance of Lungs at the Acute Respiratory Failure Syndromes (Pulmonary Edema and Adult Respiratory Distress-syndrome)

The article presents two syndromes of the acute respiratory failure, similar on pathogenesis, clinical manifestations and X-ray pattern: a pulmonary edema and adult respiratory distress-syndrome. The author aimed at depicting of a resemblance and distinguishes of the both states. A review of the extensive literature shows that both syndromes arising from the various illnesses with crisis clinical course. There are three main mechanisms through which a pulmonary edema arises: cardiac, realizing through rising of a hydrostatic pressure; hyperhydration, followed by a delay of salt and water in an intersticium resulted to a decrease of the blood osmotic pressure, and a hyperpermeability of a capillary wall resulting from a damage of the blood-air barrier by exogenous or endogenous toxins. Adult respiratory distress-syndrome is a pulmonary edema arising from the expressed intoxication and damage of the alveolar epithelium. The X-ray pattern of the respiratory failure has much common with pulmonary edema. The article presents various variants of X-ray appearance of pulmonary edema and adult distress-syndrome. However, some criteria of differential diagnosis, picked by some authors are rather unreliable, as meet at both states.

Keywords: