Li L Y, Wu J Y, Zhu Y J
Zhonghua Nei Ke Za Zhi. 1989 Apr;28(4):218-21, 251-2.
In 8 cases of A-V fistula the clinical manifestations were found to be exertional cyanosis, dyspnea and digital clubbing. Those patients might also have chest pain, tachycardia, telangiectases, polycythemia and severe hypoxemia. Murmur might be found over the surface area of the lesion. Chest X-ray examination revealed solitary circumscribed lesion in five of them and multiple lesions in two. X-ray findings were similar to bronchiectasis in one. The diagnosis and differential diagnosis of this lesion were discussed. Lung scan with technetium macroaggregated albumin was used to detect the A-V fistulae. Six cases were operated on and successful resections of the lesions were carried out in 4. One died right after the operation. In one case the larger fistula was resected, but some smaller fistulae remained and finally therapeutic embolization was carried out. No complication was encountered.
在8例动静脉瘘患者中，临床表现为劳力性发绀、呼吸困难和杵状指。这些患者还可能有胸痛、心动过速、毛细血管扩张、红细胞增多症和严重低氧血症。在病变表面区域可能可闻及杂音。胸部X线检查显示，其中5例为孤立性局限性病变，2例为多发性病变。1例的X线表现类似支气管扩张。讨论了该病变的诊断和鉴别诊断。使用锝标记的大聚合白蛋白进行肺扫描以检测动静脉瘘。6例接受了手术，4例成功切除了病变。1例术后当即死亡。1例较大的瘘管被切除，但仍残留一些较小的瘘管，最终进行了治疗性栓塞。未出现并发症。
