Pathologic Changes of Senile Chronic Corpulmonale after MecharticalVentilation
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Abstract
autopsy cases of cbronic pulmonary heart disease in the elderly after mechan- cal ventilation were studied, and compared with another 30 cases without artificial ventilation。 The results showed that:(l) The first cause of death is pulmonary infection。(χ2 test, P<0.01);(2) In the lung with respirator, the broadened alveolar septum, stenosed small airway. formationof hyaline membrane and microthrombus were more serious than the group without respirator.(P<0.05 or 0.01); (3) 5cases with respirator were observed with electron microscopy and foundproliferation of alveolar cells and foymation of hyaline membrane and; (4)The chest X-ray fiimswere reviewed in 2 cases with respirator and revealed more and more patch-like shadows sprea-ding all over the lung fields. The clinical significance and the pathogenic machanism were alsodiscussed in this paper.
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