Shimizu J, Watanabe Y, Oda M, Hayashi Y, Iwa T, Kamimura R, Takashima T
Department of Surgery (I), Kanazawa University School of Medicine, Ishikawa Prefecture, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Oct;29(10):1349-53.
A case of pulmonary varices in a 73-year-old female is presented. Routine chest X-ray revealed a mass in the right hilar region. CR tomogram showed a round, clearly defined mass at the right hilum. Computed tomography demonstrated marked enlargement of the proximal portion of the pulmonary vein at the entrance of the left atrium, which was suspected to be pulmonary varices. The diagnosis was confirmed by pulmonary angiography. During the arterial phase no abnormal findings were seen, but during the venous phase the veins of the right upper and middle lobes were found to be draining into the dilated pulmonary vein and then into the left atrium. Thus, the diagnosis of pulmonary varices was established. CT and angiography are the most useful methods for definitive diagnosis of pulmonary varices.
本文报告一例73岁女性肺静脉曲张病例。常规胸部X线检查显示右肺门区有一肿块。CR断层扫描显示右肺门处有一个圆形、边界清晰的肿块。计算机断层扫描显示左心房入口处肺静脉近端明显增粗，怀疑为肺静脉曲张。肺血管造影证实了诊断。动脉期未见异常，但静脉期发现右上叶和中叶静脉引流至扩张的肺静脉，然后进入左心房。因此，确诊为肺静脉曲张。CT和血管造影是明确诊断肺静脉曲张最有用的方法。
