Uremic Lung CT Signs And Its Correlation With TCM Syndrome Study

Objective: to study the uremic lung CT signs and syndromes of uremia, compares the uremic lung CT manifestations of TCM syndrome characteristics, improve the level of the diagnosis of uremic lung. Methods:(1) to collect confirmed 200 cases of uremia patients, line 128 layers spiral CT examination, exclude pulmonary primary lesions, summarizes the CT manifestations of uremic lung.(2) analyzing the CT manifestations of patients with uremic lung syndrome characteristics of traditional Chinese medicine, the deficiency syndrome and the empirical correlation.Results:(1) patients with uremia were 200 cases of 137 patients with chest CT positive, CT manifestations were pulmonary congestion 52 cases(37.9%), interstitial edema, 47 cases of alveolar pulmonary edema(34.3%), 21 cases(15.3%), pulmonary fibrosis, 17 cases(12.4%), or associated with the change of the pleural effusion, heart and great vessels(2) the incidence of the basic syndromes analysis results: 137 patients with uremic lung, the spleen Yang deficiency syndrome occur most frequently(38.0%), followed by qi and Yin deficiency(24.8%), spleen and kidney deficiency(20.0%), Yin and Yang are two empty(10.2%), is the least amount of liver and kidney Yin deficiency(5.0%)); The empirical to wet and heat syndrome(36.53%), followed by the wet muddy syndrome(20.4%) and blood stasis syndrome(16.8%), moisture(6.6%), is the least amount of compressed air(3.6%). Frequency is highest, followed by blood weakness syndrome(15. 9%), pneumatic certificate at least(1. 9%). This deficiency syndrome, lung congested spleen kidney Yang deficiency occur most frequently(38.5%), liver and kidney Yin deficiency(3.8%) at least; Interstitial pulmonary edema appears at most a spleen kidney Yang deficiency(40.4%), and the least is liver and kidney Yin deficiency(2.1%); Alveolar pulmonary oedema appears most is spleen and kidney Yang deficiency(47.6%) at least is liver and kidney Yin deficiency and Yin deficiency(9.5%); Fibrosis appeared at most a qi and Yin deficiency(47.1%), the minimum is both Yin and Yang deficiency(5.9%). The empirical pulmonary congestion in hot and humid syndrome appear most times(40.4%), moisture and air card at least(3.8%); Interstitial pulmonary edema appears most is hot and humid card(42.6%), the minimum is pneumatic card(4.3%); Alveolar pulmonary oedema appears is least(47.6%) of blood stasis syndrome is the most air card(0.0%); Interstitial fibrosis in most is the wet muddy syndrome(47.1%), minimum is pneumatic syndrome(5.9%).Conclusion:(1) the uremic lung CT manifestations include congestion, interstitial edema of the lungs, alveolar pulmonary edema, pulmonary fibrosis, pleural effusion, are also included in this change of heart and great vessels.(2) uremic lung deficiency syndrome in spleen and kidney Yang deficiency and qi and Yin deficiency syndrome was the; The most empirical in hot and humid and wet chaotic, Hot and humid, qi deficiency, Yang deficiency, Yin deficiency of uremic lung machine key.(3) with uremia patients with acute lung function decline, this deficiency syndrome is gradually reduce the occurrence of gas and Yin deficiency syndrome, spleen and kidney Yang deficiency syndrome increases gradually. Chronic phase gas Yin two virtual increase; When acute lung function impairment in the empirical frequency of blood stasis syndrome increase gradually, hot and humid card to reduce gradually. Chronic phase wet muddy the increase.