CT and chest radiography in the evaluation of adult respiratory distress syndrome.

摘要: CT is seldom employed in adult respiratory distress syndrome (ARDS), mostly due to problems transporting and monitoring these severely ill patients. We reviewed the findings of 74 ARDS patients who underwent chest CT. Lung opacities were bilateral almost all dependent most cases (86%). The patchy (42%), homogeneous (23%), ground glass (8%) or mixed (27%). Opacities prevailed basal regions (68%) compared hilar apical ones. Air bronchograms frequently seen areas consolidation (89%). In contrast with previous reports, pleural effusion was a frequent finding (50%) that did not worsen prognosis. Often loculated pneumothorax (32%) anteromedial. Ineffective position thoracostomy tubes detected at 13/20 Pulmonary air cysts (30%), always multiple bilateral, associated higher mortality (55%) than whole study group (35%). Compared radiographs, often yielded additional information (66%), direct influence on patient treatment 22% cases.