Bertrand E, Dalger J, Ramiara J P, Renambot J, Attia Y
Med Trop (Mars). 1978 Jan-Feb;38(1):19-26.
The review is based on three studies previously reported and involving the clinical, epidemiological and hemodynamic aspects of this problem. Schistosomasis may give frequently (21.6 p. 100) an arterial pulmonary hyperpressure related to the development of granulomas and arteriolitis. A myocarditis may be suspected but is rarely proved. Anemia and specific treatment are also responsible for myocardial deficiency. The parasitic changes of the urinary tract may give a systemic hypertension. Some very rare cases of acute pulmonary heart insufficiency have been reported and the responsibility of schistosomiasis in constrictive fibrous endomyocarditis is still questionned.
本综述基于先前报道的三项研究,涉及该问题的临床、流行病学和血流动力学方面。血吸虫病可能经常(每100例中有21.6例)导致与肉芽肿和小动脉炎发展相关的动脉性肺动脉高压。可能怀疑有心肌炎,但很少得到证实。贫血和特异性治疗也可导致心肌功能不全。泌尿系统的寄生虫改变可能导致系统性高血压。已经报道了一些非常罕见的急性肺源性心脏病病例,血吸虫病在缩窄性纤维性心内膜炎中的作用仍存在疑问。