Seboldt H, Stunkat R, Keppeler F, Hoffmeister H E, Hilpert T
Thoraxchir Vask Chir. 1975 Aug;23(4):431-6. doi: 10.1055/s-0028-1097000.
In 69 patients with mitral- or aortic valves disease lung function tests were made preoperatively and 2 to 4 years after cardiac surgery. We wanted to demonstrate the extent and the improvement of restriction, obstruction and disturbed diffusing capacity of the separate diseases with different severities. We found correlations between the clinical grade of the disease and the changes in lung function. In particular grade III of the mitral stenosis showed severe restriction, obstruction and disturbed diffusing capacity. Patients with mitral insufficiency III had changes of mild degree, aortic diseases were without disturbed lung function. All detected changes of lung function were irreversible and could not be influenced by postoperative hemodynamic improvements.
对69例二尖瓣或主动脉瓣疾病患者在术前以及心脏手术后2至4年进行了肺功能测试。我们想要证明不同严重程度的各类疾病在限制、阻塞和弥散功能障碍方面的程度及改善情况。我们发现疾病的临床分级与肺功能变化之间存在相关性。特别是二尖瓣狭窄III级表现出严重的限制、阻塞和弥散功能障碍。二尖瓣关闭不全III级患者的变化程度较轻，主动脉疾病患者的肺功能未受影响。所有检测到的肺功能变化都是不可逆的，术后血流动力学的改善对此没有影响。
