Arnett J C, Patton R M
Thorax. 1976 Feb;31(1):107-12. doi: 10.1136/thx.31.1.107.
Pulmonary varix is a rare disorder which is usually discovered by change during the third to sixth decade in an asymptomatic patient. The 37th example is reported with a review of the literature. The disorder is possibly congenital and may affect any lobe. Pulmonary angiography is the preferred procedure for diagnosis. If symptoms are present, they can usually attributed to associated cardiopulmonary disease. Two serious complications have been reported--systematic embolus from a clot in the varix (two cases suspected), and rupture leading to the death of the patient (four cases). A third hazard to the patient is an unnecessary diagnostic thoracotomy. Patients without symptoms should have periodic chest radiographs of those with haemoptysis or systemic embolism should be considered for resection of the varix.
肺静脉曲张是一种罕见的疾病，通常在无症状患者的第三至第六个十年期间因变化而被发现。本文报告了第37例病例并对文献进行了综述。该疾病可能是先天性的，可累及任何肺叶。肺血管造影是诊断的首选方法。如果出现症状，通常可归因于相关的心肺疾病。已报告了两种严重并发症——静脉曲张内血栓形成导致的系统性栓塞（疑似两例），以及破裂导致患者死亡（四例）。对患者的第三种危害是不必要的诊断性开胸手术。无症状患者应定期进行胸部X光检查，有咯血或系统性栓塞的患者应考虑切除静脉曲张。
