Metz V, Grabenwöger F, Dock W, Schlick W, Pinterits F
Allgemeines Krankenhaus Wien, II. Chirurgische Univ.-Klinik.
Rontgenblatter. 1987 Oct;40(10):325-7.
Based on the data of 15 patients the typical radiological signs of pulmonary arteriovenous fistulas, their differential diagnostic implications, clinical signs and symptoms and management are reviewed. In addition, lung function parameters of 9 patients are presented. The critical role of pulmonary angiography and sequential dynamic CT for the diagnosis is stressed, particularly in those cases in which conventional chest radiographs and tomographies fail to show characteristics abnormalities. Since pulmonary arteriovenous fistulas tend to increase in size and cause complications, they should be subjected to intermediate treatment, even if they are of no haemodynamic relevance.
基于15例患者的数据，对肺动静脉瘘的典型放射学征象、其鉴别诊断意义、临床体征和症状以及治疗进行了综述。此外，还给出了9例患者的肺功能参数。强调了肺血管造影和动态CT序列在诊断中的关键作用，特别是在那些传统胸部X线片和体层摄影未能显示特征性异常的病例中。由于肺动静脉瘘往往会增大并引起并发症，即使它们与血流动力学无关，也应进行介入治疗。
