van Meerhaeghe A
Respiration. 1981;42(1):67-70. doi: 10.1159/000194405.
A 56-year-old man with a failing aortic prothesis involving aortic insufficiency and with a dissecting aneurysm of the aortic cross, developed a unilateral pulmonary edema. Although radiological literature often describes this phenomenon, it is sometimes mis-diagnosed in medical clinics. The literature available is briefly reviewed and we discuss the most probable mechanisms causing unilateral presentation of pulmonary edema. The effect of gravity or posture, with or without variations of pulmonary venous pressure, disturbances of the neurogenic control of capillary size and permeability, pleural pathologies and impairment of vascularization of one lung are hypotheses put forward to explain the unilaterality of the distribution.
一名56岁男性，患有主动脉瓣人工瓣膜功能衰竭伴主动脉瓣关闭不全及主动脉弓夹层动脉瘤，出现了单侧肺水肿。尽管放射学文献经常描述这种现象，但在医疗诊所中有时会被误诊。本文简要回顾了现有文献，并讨论了导致单侧肺水肿表现的最可能机制。重力或体位的影响，无论有无肺静脉压变化、毛细血管大小和通透性的神经源性控制障碍、胸膜病变以及一侧肺血管化受损，都是为解释分布的单侧性而提出的假说。
