http://120.24.161.253:5617/index.php?action=history&feed=atom&title=%E8%82%BA%E6%B3%A1%E8%9B%8B%E7%99%BD%E6%B2%89%E7%A7%AF%E7%97%87-%E4%B8%B4%E5%BA%8A%E8%A1%A8%E7%8E%B0-%E5%92%B3%E5%97%BD 2026-05-18T14:29:54Z 本wiki的该页面的版本历史 MediaWiki 1.30.0 http://120.24.161.253:5617/index.php?title=%E8%82%BA%E6%B3%A1%E8%9B%8B%E7%99%BD%E6%B2%89%E7%A7%AF%E7%97%87-%E4%B8%B4%E5%BA%8A%E8%A1%A8%E7%8E%B0-%E5%92%B3%E5%97%BD&diff=2026698&oldid=prev 2026-04-16T04:37:19Z

<p>导入1个版本</p> <table class="diff diff-contentalign-left" data-mw="interface"> <tr style="vertical-align: top;" lang="zh-CN"> <td colspan="1" style="background-color: white; color:black; text-align: center;">←上一版本</td> <td colspan="1" style="background-color: white; color:black; text-align: center;">2026年4月16日 (四) 04:37的版本</td> </tr><tr><td colspan="2" style="text-align: center;" lang="zh-CN"><div class="mw-diff-empty">（没有差异）</div> </td></tr></table>

KGadmin http://120.24.161.253:5617/index.php?title=%E8%82%BA%E6%B3%A1%E8%9B%8B%E7%99%BD%E6%B2%89%E7%A7%AF%E7%97%87-%E4%B8%B4%E5%BA%8A%E8%A1%A8%E7%8E%B0-%E5%92%B3%E5%97%BD&diff=2000022&oldid=prev 2026-04-15T13:11:58Z

<p>导入1个版本</p> <table class="diff diff-contentalign-left" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr style="vertical-align: top;" lang="zh-CN"> <td colspan="2" style="background-color: white; color:black; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: white; color:black; text-align: center;">2026年4月15日 (三) 13:11的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l5" >第5行：</td> <td colspan="2" class="diff-lineno">第5行：</td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'>&#160;</td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==来源==</div></td><td class='diff-marker'>&#160;</td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==来源==</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>===<del class="diffchange diffchange-inline">体外循环膜氧合支持下全肺灌洗治疗肺泡蛋白沉积症一例并文献复习</del>===</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>===<ins class="diffchange diffchange-inline">肺泡蛋白沉积症18例临床分析并文献复习</ins>===</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">摘要 目的 提高对</del>[[肺泡蛋白沉积症]](PAP)<del class="diffchange diffchange-inline">患者肺灌洗治疗过程中低氧血症危险性的认识.方法介绍1例经病理证实的PAP患者体外循环膜氧合下的全肺灌洗治疗过程,并复习相关文献.</del>结果 <del class="diffchange diffchange-inline">57岁男性患者,因</del>[[咳嗽]]<del class="diffchange diffchange-inline">和进行性呼吸困难12个月入院,动脉血氧分压(PaO2)为46 mm Hg(1 mm Hg=0.133 kPa),脉搏容积血氧饱和度(SpO2)85%～88%.胸部CT、经纤维支气管镜支气管肺泡灌洗和肺活检病理检查符合PAP.在手术室常规静脉全麻后,经口腔插入双腔管,分隔为通气肺和灌洗肺.两肺机械通气SpO2为80%～90%;当右侧单侧肺机械通气SpO2为68%～80%.于右股动脉和右股静脉插管,建立体外循环通道,开始静脉-动脉体外循环膜氧合(ECMO)支持,右侧单侧肺机械通气SpO2为89%～97%.左侧肺用总计20 800 ml生理盐水灌洗,灌洗期间SpO2为80%～94%;灌洗后,患者无呼吸困难.28 d后未用ECMO完成右肺灌洗.1个月后复查CT示双肺浸润影基本消失.结论当PAP患者全肺灌洗操作前出现顽固的低氧血症</del>,<del class="diffchange diffchange-inline">应考虑使用ECMO支持</del>,<del class="diffchange diffchange-inline">以避免患者在全肺灌洗治疗中的危险低氧血症。</del></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">结果[[肺泡蛋白沉积症]]患者以[[咳嗽]]、咳痰和进行性呼吸困难为主要临床症状。</ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>&#160;</div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">===镰旁脑膜瘤合并肺泡蛋白沉积症1例并文献复习===</ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">结果：该患者临床症状以[[咳嗽]]、咳痰及面部抽搐为主要表现，行显微外科手术治疗，采用右额顶入路，肿瘤全切除，术后病理示混合型脑膜瘤，高分辨胸部CT表现为磨玻璃样影，部分融合，经支气管肺泡灌洗确诊为</ins>[[肺泡蛋白沉积症]](PAP)<ins class="diffchange diffchange-inline">。</ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>&#160;</div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">===肺泡蛋白沉积症2例临床分析及文献复习===</ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">结果：[[肺泡蛋白沉积症]]病程迁延，常见症状为劳力性呼吸困难及[[咳嗽]]，典型胸部CT可见铺路石征改变，支气管肺泡灌洗液或肺组织病理可见肺泡腔内PAS染色阳性无定型颗粒状物质。</ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>&#160;</div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">===肺泡蛋白沉积症20例诊治分析===</ins></div></td></tr> <tr><td colspan="2">&#160;</td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>结果<ins class="diffchange diffchange-inline">[[肺泡蛋白沉积症]]以呼吸困难、</ins>[[咳嗽]]<ins class="diffchange diffchange-inline">、咳痰为主要表现</ins>,<ins class="diffchange diffchange-inline">影像学多表现为双肺弥漫性磨玻璃影及斑片影</ins>,<ins class="diffchange diffchange-inline">部分呈“地图征”及“铺路石征”改变。</ins></div></td></tr> </table>

KGadmin http://120.24.161.253:5617/index.php?title=%E8%82%BA%E6%B3%A1%E8%9B%8B%E7%99%BD%E6%B2%89%E7%A7%AF%E7%97%87-%E4%B8%B4%E5%BA%8A%E8%A1%A8%E7%8E%B0-%E5%92%B3%E5%97%BD&diff=2026697&oldid=prev 2026-04-13T13:56:59Z

<p>修改1</p> <table class="diff diff-contentalign-left" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr style="vertical-align: top;" lang="zh-CN"> <td colspan="2" style="background-color: white; color:black; text-align: center;">←上一版本</td> <td colspan="2" style="background-color: white; color:black; text-align: center;">2026年4月13日 (一) 13:56的版本</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l5" >第5行：</td> <td colspan="2" class="diff-lineno">第5行：</td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'>&#160;</td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr> <tr><td class='diff-marker'>&#160;</td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==来源==</div></td><td class='diff-marker'>&#160;</td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==来源==</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>===<del class="diffchange diffchange-inline">肺泡蛋白沉积症18例临床分析并文献复习</del>===</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>===<ins class="diffchange diffchange-inline">体外循环膜氧合支持下全肺灌洗治疗肺泡蛋白沉积症一例并文献复习</ins>===</div></td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">结果[[肺泡蛋白沉积症]]患者以[[咳嗽]]、咳痰和进行性呼吸困难为主要临床症状。</del></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">摘要 目的 提高对</ins>[[肺泡蛋白沉积症]](PAP)<ins class="diffchange diffchange-inline">患者肺灌洗治疗过程中低氧血症危险性的认识.方法介绍1例经病理证实的PAP患者体外循环膜氧合下的全肺灌洗治疗过程,并复习相关文献.结果 57岁男性患者,因</ins>[[咳嗽]]<ins class="diffchange diffchange-inline">和进行性呼吸困难12个月入院,动脉血氧分压(PaO2)为46 mm Hg(1 mm Hg</ins>=<ins class="diffchange diffchange-inline">0.133 kPa),脉搏容积血氧饱和度(SpO2)85%～88%.胸部CT、经纤维支气管镜支气管肺泡灌洗和肺活检病理检查符合PAP.在手术室常规静脉全麻后,经口腔插入双腔管,分隔为通气肺和灌洗肺.两肺机械通气SpO2为80%～90%;当右侧单侧肺机械通气SpO2为68%～80%.于右股动脉和右股静脉插管,建立体外循环通道,开始静脉-动脉体外循环膜氧合(ECMO)支持,右侧单侧肺机械通气SpO2为89%～97%.左侧肺用总计20 800 ml生理盐水灌洗,灌洗期间SpO2为80%～94%;灌洗后,患者无呼吸困难.28 d后未用ECMO完成右肺灌洗.1个月后复查CT示双肺浸润影基本消失.结论当PAP患者全肺灌洗操作前出现顽固的低氧血症</ins>,<ins class="diffchange diffchange-inline">应考虑使用ECMO支持</ins>,<ins class="diffchange diffchange-inline">以避免患者在全肺灌洗治疗中的危险低氧血症。</ins></div></td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>&#160;</div></td><td colspan="2">&#160;</td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">===镰旁脑膜瘤合并肺泡蛋白沉积症1例并文献复习===</del></div></td><td colspan="2">&#160;</td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">结果：该患者临床症状以[[咳嗽]]、咳痰及面部抽搐为主要表现，行显微外科手术治疗，采用右额顶入路，肿瘤全切除，术后病理示混合型脑膜瘤，高分辨胸部CT表现为磨玻璃样影，部分融合，经支气管肺泡灌洗确诊为</del>[[肺泡蛋白沉积症]](PAP)<del class="diffchange diffchange-inline">。</del></div></td><td colspan="2">&#160;</td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>&#160;</div></td><td colspan="2">&#160;</td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">===肺泡蛋白沉积症2例临床分析及文献复习===</del></div></td><td colspan="2">&#160;</td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">结果：[[肺泡蛋白沉积症]]病程迁延，常见症状为劳力性呼吸困难及</del>[[咳嗽]]<del class="diffchange diffchange-inline">，典型胸部CT可见铺路石征改变，支气管肺泡灌洗液或肺组织病理可见肺泡腔内PAS染色阳性无定型颗粒状物质。</del></div></td><td colspan="2">&#160;</td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>&#160;</div></td><td colspan="2">&#160;</td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del class="diffchange diffchange-inline">==肺泡蛋白沉积症20例诊治分析===</del></div></td><td colspan="2">&#160;</td></tr> <tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">结果[[肺泡蛋白沉积症]]以呼吸困难、[[咳嗽]]、咳痰为主要表现</del>,<del class="diffchange diffchange-inline">影像学多表现为双肺弥漫性磨玻璃影及斑片影</del>,<del class="diffchange diffchange-inline">部分呈“地图征”及“铺路石征”改变。</del></div></td><td colspan="2">&#160;</td></tr> </table>

Admin http://120.24.161.253:5617/index.php?title=%E8%82%BA%E6%B3%A1%E8%9B%8B%E7%99%BD%E6%B2%89%E7%A7%AF%E7%97%87-%E4%B8%B4%E5%BA%8A%E8%A1%A8%E7%8E%B0-%E5%92%B3%E5%97%BD&diff=2000021&oldid=prev 2026-04-13T13:56:59Z

<p>修改1</p> <p><b>新页面</b></p><div>主实体：[[肺泡蛋白沉积症]]，关系：[[临床表现]] ，尾实体：[[咳嗽]]<br /> <br /> ==关系介绍==<br /> 待补充<br /> <br /> ==来源==<br /> ===肺泡蛋白沉积症18例临床分析并文献复习===<br /> 结果[[肺泡蛋白沉积症]]患者以[[咳嗽]]、咳痰和进行性呼吸困难为主要临床症状。<br /> <br /> ===镰旁脑膜瘤合并肺泡蛋白沉积症1例并文献复习===<br /> 结果：该患者临床症状以[[咳嗽]]、咳痰及面部抽搐为主要表现，行显微外科手术治疗，采用右额顶入路，肿瘤全切除，术后病理示混合型脑膜瘤，高分辨胸部CT表现为磨玻璃样影，部分融合，经支气管肺泡灌洗确诊为[[肺泡蛋白沉积症]](PAP)。<br /> <br /> ===肺泡蛋白沉积症2例临床分析及文献复习===<br /> 结果：[[肺泡蛋白沉积症]]病程迁延，常见症状为劳力性呼吸困难及[[咳嗽]]，典型胸部CT可见铺路石征改变，支气管肺泡灌洗液或肺组织病理可见肺泡腔内PAS染色阳性无定型颗粒状物质。<br /> <br /> ===肺泡蛋白沉积症20例诊治分析===<br /> 结果[[肺泡蛋白沉积症]]以呼吸困难、[[咳嗽]]、咳痰为主要表现,影像学多表现为双肺弥漫性磨玻璃影及斑片影,部分呈“地图征”及“铺路石征”改变。</div>

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