Hayes J A, Summerell J M
Thorax. 1969 Sep;24(5):623-5. doi: 10.1136/thx.24.5.623.
Whole lung sections (Gough-Wentworth) have been prepared after formalin liquid distension of the lungs from 643 necropsies performed in Jamaica. These included 572 Negro (African), 18 East Indian, 25 Chinese, and 28 white cases. Emphysematous change was assessed visually by comparison with a standard set of sections from Cardiff which were similar to those adopted by the Ciba Guest Symposium in 1959. Severe destructive emphysema was present in 1·8% of males and in 1·0% of females. Emphysema was more severe, and more frequent, in males than in females, while both sexes showed an increasing frequency and severity with advancing years. No appreciable racial difference was seen, except that `focal' emphysema, which includes the centrilobular type, was somewhat more frequent in East Indians than in the other racial groups. These observations indicate the occurrence of emphysema of the more common types in a hot climate which is apparently free of atmospheric pollution.
对牙买加643例尸检病例的肺脏进行福尔马林液体膨胀后，制备了全肺切片（Gough-Wentworth）。其中包括572例黑人（非洲人）、18例东印度人、25例中国人和28例白人病例。通过与一组来自加的夫的标准切片进行视觉比较来评估肺气肿的变化，这些标准切片与1959年Ciba客座研讨会采用的切片相似。严重的破坏性肺气肿在男性中占1.8%，在女性中占1.0%。肺气肿在男性中比在女性中更严重、更常见，并且两性的发病率和严重程度都随年龄增长而增加。除了包括小叶中心型在内的“局灶性”肺气肿在东印度人中比在其他种族群体中略为常见外，未观察到明显的种族差异。这些观察结果表明，在明显没有大气污染的炎热气候中会出现较常见类型的肺气肿。
