Kirsten D, Pielesch W, Riedel E
Z Gesamte Inn Med. 1981 Apr 15;36(8):261-4.
22 patients with asthma attacks were examined by microcatheter and the pressure in the pulmonary artery (PAP) was measured. The bronchial obstruction is characterized by decrease of FEV 1.0 (average mean 44% of the vital capacity). The average pressures in the pulmonary artery change from 12 to 32 Torr (1.5 kPa to 4.2 kPa) during asthma attacks. Average of the PAP mean 20 Torr (2.7 kPa). The examination was completed by application of 0.24 g aminophylline via the catheter. Decrease of the PAP of 4.1 Torr (0.5 kPa) led also to a decrease of wheezing. In 9 patients an additional decrease of the PAP was effected by the application of 0.8 mg nitroglycerin.
对22例哮喘发作患者进行了微导管检查,并测量了肺动脉压(PAP)。支气管阻塞的特征是第一秒用力呼气容积(FEV 1.0)降低(平均占肺活量的44%)。哮喘发作期间,肺动脉平均压力从12托(1.5千帕)变化到32托(4.2千帕)。肺动脉压平均值为20托(2.7千帕)。通过导管应用0.24克氨茶碱完成检查。肺动脉压降低4.1托(0.5千帕)也导致哮鸣音减弱。在9例患者中,应用0.8毫克硝酸甘油使肺动脉压进一步降低。