Sella D, Dotti A, Bovolato P
Minerva Med. 1981 Nov 3;72(43):2883-7.
Respiratory function tests carried out on 98 patients with mitral valve disease are reported. The indices were correlated with the N.Y.H.A. classification and mean pulmonary artery pressure values. The patterns were similar for both types of correlation. There were early VC, RV and RV/TLC alterations. In more advanced cases, there were also reductions in DLCO, MEVS, and FEF25-75%. The result is a primarily restrictive dysventilatory picture that is clinically compatible with interstitial pulmonary fibrosis.
报告了对98例二尖瓣疾病患者进行的呼吸功能测试。各项指标与纽约心脏协会(NYHA)分级及平均肺动脉压值相关。两种相关性的模式相似。早期出现肺活量(VC)、残气量(RV)及残气量/肺总量(RV/TLC)改变。在病情更严重的病例中,一氧化碳弥散量(DLCO)、最大呼气中期流速(MEVS)及用力呼气流量25%-75%(FEF25-75%)也降低。结果呈现出主要为限制性通气障碍的情况,在临床上与间质性肺纤维化相符。