Strauss J, Strauss B, Dippmann A, Stanulla H
Z Erkr Atmungsorgane. 1980;155(3):329-40.
The clinical features and the diagnostic difficulties in 11 cases of pulmonary arteriovenous (av) malformation, diagnosed in the last 10 years, are discussed. It is possible to get the correct diagnosis with the help of the typical thorax-X-screen, inclusive tomography in combination with the clinical signs of the right to left shunt. Pulmonary angiography is indicated (first) before any kind of therapy in order to exclude av malformations in other localisations, (second) in all pulmonary lesions, where av malformations are part of the differential diagnosis, and (third) in patients suffering from symptoms of a right to left shunt after exclusion of a cyanotic vitium cordis.
讨论了过去10年中诊断出的11例肺动静脉畸形的临床特征及诊断难点。借助典型的胸部X线检查（包括断层扫描）并结合右向左分流的临床体征，有可能做出正确诊断。在进行任何治疗之前，均需进行肺血管造影，其目的一是排除其他部位的动静脉畸形，二是针对所有需将动静脉畸形纳入鉴别诊断的肺部病变，三是用于排除心脏紫绀性缺损后出现右向左分流症状的患者。
