Paleev N R, Tsar'kova L N, Chereĭskaia N K
Kardiologiia. 1985 Oct;25(10):58-63.
Clinical and instrumental criteria for pulmonary and intracardiac hemodynamic disorders within the lesser circulation, associated with chronic nonspecific pulmonary disease (CNPD) are presented. It is demonstrated that right-ventricular (RV) hypertrophy is not an obligatory sign of hemodynamic disorders complicating chronic pulmonary disease, therefore selecting it as the principal sign of an intricate complex of pulmonocardiac disorders is a mistake that interferes with prospective early clinical diagnosis of pulmonocardiac disturbances associated with CNPD and reduces the efficiency of their treatment. The nature of CNPD-associated pulmonocardiac disturbances is adequately reflected in the term "secondary pulmonary hypertension".
本文介绍了与慢性非特异性肺部疾病(CNPD)相关的肺循环和心内血流动力学紊乱的临床及仪器检查标准。结果表明,右心室(RV)肥大并非慢性肺部疾病并发血流动力学紊乱的必然体征,因此将其选为肺心疾病复杂综合征的主要体征是一个错误,这会干扰与CNPD相关的肺心功能障碍的前瞻性早期临床诊断,并降低其治疗效果。“继发性肺动脉高压”这一术语充分反映了与CNPD相关的肺心功能障碍的本质。