Vogt T, Fauser A, Schlosser V, Mittermayer C
Thoraxchir Vask Chir. 1975 Apr;23(2):115-9. doi: 10.1055/s-0028-1096933.
Histological morphometric examination of the lungs of 22 patients with acquired mitral stenosis and 15 control persons is reported. The quotient obtained from wall thickness and lumen diameter of the pulmonary venules gives a reliable estimation of the haemodynamic changes found in the pulmonary vascular system in mitral stenosis patients. The typical changes in the pulmonary vascular system in these patients were observed particularly in the lower pulmonary lobe and to a lesser extent in the lingular of the upper lobe. Biopsy of the lower lobe is preferable in mitral stenosis operations because it results in a better clinical diagnosis.
报告了对22例获得性二尖瓣狭窄患者和15名对照者肺部的组织学形态计量学检查。肺小静脉壁厚度与管腔直径的比值能够可靠地评估二尖瓣狭窄患者肺血管系统的血流动力学变化。这些患者肺血管系统的典型变化尤其在肺下叶观察到,在上叶舌段程度较轻。在二尖瓣狭窄手术中,下叶活检更可取,因为它能带来更好的临床诊断。