Objective To study the relationship between therapeutic effect of acute cardiogenic pulmonary edema (ACPE)and chest X-ray features.To offer an assessment method to clinical therapy. Methods Forty-eight patients with ACPE were recruited in the study. After treatment all the changes of chest X-ray features were analyzed by two salty radiologists using double blind method retrospectively.Statistics method were χ2 analysis and Kappa analysis. Results Two doctors found the patients with better therapeutic effect also have obviously changes of chest X-ray(P<0.05).The two doctors’film reading have the same concordance (P<0.05). Conclusion It’s important to recheck chest X-ray during the clinical therapy of patients with ACPE.% 目的研究急性心源性肺水肿治疗效果和X线胸片表现之间的关系，为临床评估疗效提供帮助。方法由2名有经验的放射科医师采用盲法回顾性分析48例急性心源性肺水肿患者治疗前后的X线胸片好转率，所得的数据做χ2检验，并用Kappa检验对2人评判的结果做一致性分析。结果医师甲、乙所得的结论均为：急性心源性肺水肿临床治疗后好转者，X线胸片好转率的差异有统计学意义（P<0.05）。甲乙医师间阅片的一致性分析差异有统计学意义（P<0.05），说明甲乙2名医师对治疗前后X线表现好转与否的诊断结果有较好的一致性。讨论急性心源性肺水肿治疗过程中复查X线胸片，是评估临床疗效的一种有效的方法。
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