Korolev B A, Shirokova A P, Pavlunin A V, Karpova N A, Serëgin A A
Vestn Khir Im I I Grek. 1988 Jun;140(6):8-13.
The authors have analyzed results of the surgical treatment of 24 out of 26 patients observed at the clinic for arterio-venous aneurysms of the lungs. It was found that the reduction of efficiency of the gas exchange function of the lungs before operation manifested itself by arterial and venous hypoxemia with an increased arterio-venous oxygen difference and pronounced decrease of blood oxygen strain. Good results of the operative treatment, rapid recovery of blood oxygenation, disappearance of hypoxemia symptoms make the surgical method the only radical one in treatment of such patients. The operation of choice was lobectomy. No lethal outcomes followed.
作者分析了该诊所观察到的26例肺动静脉瘤患者中24例的手术治疗结果。发现术前肺气体交换功能效率降低表现为动脉和静脉低氧血症,动静脉氧差增加,血氧张力明显降低。手术治疗效果良好,血氧合迅速恢复,低氧血症症状消失,使手术方法成为治疗此类患者的唯一根治方法。首选手术是肺叶切除术。无致死病例。