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-%E8%BF%9B%E8%A1%8C%E6%80%A7%E5%91%BC%E5%90%B8%E5%9B%B0%E9%9A%BE 2026-07-07T10:35:34Z 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-%E8%BF%9B%E8%A1%8C%E6%80%A7%E5%91%BC%E5%90%B8%E5%9B%B0%E9%9A%BE&diff=2026700&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-%E8%BF%9B%E8%A1%8C%E6%80%A7%E5%91%BC%E5%90%B8%E5%9B%B0%E9%9A%BE&diff=2000020&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">全肺灌洗治疗肺泡蛋白沉积症1例</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]]<del class="diffchange diffchange-inline">(PAP)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,因咳嗽和</del>[[进行性呼吸困难]]<del class="diffchange diffchange-inline">12个月入院</del>,<del class="diffchange diffchange-inline">动脉血氧分压(PaO2)为46 mm Hg(1 mm Hg=0.133 kPa)</del>,<del class="diffchange diffchange-inline">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</del>,<del class="diffchange diffchange-inline">经口腔插入双腔管</del>,<del class="diffchange diffchange-inline">分隔为通气肺和灌洗肺</del>.<del class="diffchange diffchange-inline">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</del>,<del class="diffchange diffchange-inline">建立体外循环通道</del>,<del class="diffchange diffchange-inline">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</del>,<del class="diffchange diffchange-inline">灌洗期间SpO2为80%～94%;灌洗后</del>,<del class="diffchange diffchange-inline">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 </ins>[[肺泡蛋白沉积症]]<ins class="diffchange diffchange-inline">临床表现为</ins>[[进行性呼吸困难]],<ins class="diffchange diffchange-inline">胸部CT有特征性的&quot;地图样&quot;改变</ins>,<ins class="diffchange diffchange-inline">肺泡灌洗液外观浑浊</ins>,<ins class="diffchange diffchange-inline">病理检查PAS染色阳性</ins>,<ins class="diffchange diffchange-inline">全肺灌洗后临床症状及胸部CT均有所改善</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18例临床分析并文献复习===</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[[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">===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><ins class="diffchange diffchange-inline">结论[[肺泡蛋白沉积症]]临床症状及实验室检查无特异性</ins>,<ins class="diffchange diffchange-inline">对于以咳嗽伴[[进行性呼吸困难]]为主要临床表现</ins>, <ins class="diffchange diffchange-inline">CT双肺弥漫性病变</ins>,<ins class="diffchange diffchange-inline">呈“地图征”及“铺路石征”改变的病例应警惕本病</ins>,<ins class="diffchange diffchange-inline">尽早行BALF及TBLB</ins>,<ins class="diffchange diffchange-inline">必要时行胸腔镜肺活检确诊</ins>,<ins class="diffchange diffchange-inline">避免误诊。</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-%E8%BF%9B%E8%A1%8C%E6%80%A7%E5%91%BC%E5%90%B8%E5%9B%B0%E9%9A%BE&diff=2026699&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">全肺灌洗治疗肺泡蛋白沉积症1例</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 </del>[[肺泡蛋白沉积症]]<del class="diffchange diffchange-inline">临床表现为</del>[[进行性呼吸困难]],<del class="diffchange diffchange-inline">胸部CT有特征性的&quot;地图样&quot;改变</del>,<del class="diffchange diffchange-inline">肺泡灌洗液外观浑浊</del>,<del class="diffchange diffchange-inline">病理检查PAS染色阳性</del>,<del class="diffchange diffchange-inline">全肺灌洗后临床症状及胸部CT均有所改善</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]]<ins class="diffchange diffchange-inline">(PAP)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,因咳嗽和</ins>[[进行性呼吸困难]]<ins class="diffchange diffchange-inline">12个月入院</ins>,<ins class="diffchange diffchange-inline">动脉血氧分压(PaO2)为46 mm Hg(1 mm Hg=0.133 kPa)</ins>,<ins class="diffchange diffchange-inline">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</ins>,<ins class="diffchange diffchange-inline">经口腔插入双腔管</ins>,<ins class="diffchange diffchange-inline">分隔为通气肺和灌洗肺</ins>.<ins class="diffchange diffchange-inline">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</ins>,<ins class="diffchange diffchange-inline">开始静脉-动脉体外循环膜氧合(ECMO)支持</ins>,<ins class="diffchange diffchange-inline">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</ins>,<ins class="diffchange diffchange-inline">灌洗期间SpO2为80%～94%;灌洗后</ins>,<ins class="diffchange diffchange-inline">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">===肺泡蛋白沉积症18例临床分析并文献复习===</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[[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 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">结论[[肺泡蛋白沉积症]]临床症状及实验室检查无特异性</del>,<del class="diffchange diffchange-inline">对于以咳嗽伴[[进行性呼吸困难]]为主要临床表现</del>, <del class="diffchange diffchange-inline">CT双肺弥漫性病变</del>,<del class="diffchange diffchange-inline">呈“地图征”及“铺路石征”改变的病例应警惕本病</del>,<del class="diffchange diffchange-inline">尽早行BALF及TBLB</del>,<del class="diffchange diffchange-inline">必要时行胸腔镜肺活检确诊</del>,<del class="diffchange diffchange-inline">避免误诊。</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-%E8%BF%9B%E8%A1%8C%E6%80%A7%E5%91%BC%E5%90%B8%E5%9B%B0%E9%9A%BE&diff=2000019&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：[[进行性呼吸困难]]<br /> <br /> ==关系介绍==<br /> 待补充<br /> <br /> ==来源==<br /> ===全肺灌洗治疗肺泡蛋白沉积症1例===<br /> 结果 [[肺泡蛋白沉积症]]临床表现为[[进行性呼吸困难]],胸部CT有特征性的&quot;地图样&quot;改变,肺泡灌洗液外观浑浊,病理检查PAS染色阳性,全肺灌洗后临床症状及胸部CT均有所改善.<br /> <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 /> ===肺泡蛋白沉积症20例诊治分析===<br /> 结论[[肺泡蛋白沉积症]]临床症状及实验室检查无特异性,对于以咳嗽伴[[进行性呼吸困难]]为主要临床表现, CT双肺弥漫性病变,呈“地图征”及“铺路石征”改变的病例应警惕本病,尽早行BALF及TBLB,必要时行胸腔镜肺活检确诊,避免误诊。</div>

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