Adebahr G
Z Rechtsmed. 1987;98(1):33-8. doi: 10.1007/BF00200383.
The importance is demonstrated of anastomoses between the pulmonary artery and the bronchial artery as well as of the arteriovenous anastomoses that arise from these in microembolism. In cases of air embolism, microembolism in the lungs is seldom. Therefore, there must be particular circumstances that make it possible for little air bubbles to pass the anastomoses from the pulmonary artery via the bronchial artery and the arteriovenous anastomoses into the bronchial vein. The pressure in the bronchial artery must decrease. Under these conditions, blood is shunted from the pulmonary artery to the bronchial artery and little air bubbles can pass via the above-mentioned anastomoses into the pulmonary vein.
肺动脉与支气管动脉之间的吻合以及由这些吻合在微栓塞中产生的动静脉吻合的重要性得到了证明。在空气栓塞的情况下,肺部的微栓塞很少见。因此,必然存在特殊情况,使得小气泡能够通过吻合支从肺动脉经支气管动脉和动静脉吻合支进入支气管静脉。支气管动脉的压力必须降低。在这些情况下,血液从肺动脉分流到支气管动脉,小气泡可以通过上述吻合支进入肺静脉。