Kärkölä P, Larmi T K
Scand J Thorac Cardiovasc Surg. 1975;9(3):259-63. doi: 10.3109/14017437509138648.
Ventilatory function, pulmonary diffusion capacity and right heart catheterization were studied in eight patients 2-7 years after pneumonectomy. The operation had been carried out for bronchial carcinoma. Dependence of pulmonary diffusion capacity on pulmonary perfusion rather than on ventilatory changes was characteristic of the elderly patients in the late post-pneumonectomy state. When decreased pulmonary perfusion, produced by cardiac disease or increased pulmonary vascular resistance, severely affects the pulmonary diffusion capacity, a careful assessment of the cardiac state is very important in the pre-operative evaluation of operability. In the absence of coexisting diseases, the cardiopulmonary state of long-term survivors usually remains good.
对8例肺癌肺叶切除术后2至7年的患者进行了通气功能、肺弥散能力和右心导管检查。手术是针对支气管癌进行的。在肺叶切除术后晚期，老年患者肺弥散能力依赖于肺灌注而非通气变化是其特点。当心脏病导致肺灌注减少或肺血管阻力增加严重影响肺弥散能力时，术前仔细评估心脏状况对手术可行性评估非常重要。在没有并存疾病的情况下，长期存活者的心肺状况通常保持良好。
