Zhang Z, Chen Y
Beijing Anzhen Hospital, Beining 100029.
Zhonghua Jie He He Hu Xi Za Zhi. 1998 Feb;21(2):114-6.
To evaluate the causes, characteristics of clinical manifestations and the complications of pulmonary arteriovenous fistula, to analyse the advantages and disadvantages of diagnostic methods, and to improve the efficacy of treatment.
Through reviewing reference articles and 22 cases.
Arteriovenous fistulae in 12 of 22 cases were removed by pulmonary resection, of whom 9 were completely recovered, 1 recovered significantly, 1 got better in early stage but could not be follow-up 6 months later, 1 died one year after operation. Five out of the 22 cases were surgically intervened with other non-pulmonary operations, of whom 4 recovered but the clinical appearances of PAVF were not obviously improved, 1 died shortly after operation. The others of 22 cases (5 cases) were not specially treated and not be follow-up.
Echocardiography is the most simple, efficient method for diagnosis of PAVF. Pulmonary angiography can identify the size, location and profile of the PAVF. The results of removal of the fistulae are excellent, however the candidates should be selected strictly.
评估肺动静脉瘘的病因、临床表现特点及并发症，分析诊断方法的优缺点，提高治疗效果。
通过复习参考文献及22例病例。
22例中12例行肺切除术切除动静脉瘘，其中9例完全恢复，1例明显恢复，1例早期好转但6个月后失访，1例术后1年死亡。22例中5例行其他非肺部手术干预，其中4例恢复但肺动静脉瘘临床表现未明显改善，1例术后不久死亡。22例中的其他5例未特殊治疗且未随访。
超声心动图是诊断肺动静脉瘘最简单、有效的方法。肺血管造影可明确肺动静脉瘘的大小、位置及形态。瘘管切除效果良好，但应严格选择手术对象。
