Gaspar J, Sandoval J, Fernández Bonetti P, Herrera E L
Arch Inst Cardiol Mex. 1980 Mar-Apr;50(2):172-7.
The case of a female patient with Rendu-Osler-Weber disease associated with pulmonary arterio-venous fistula localized at the apical segment of the left inferior pulmonary lobe is described. A decrease in the oxygen arterial saturation (SaO2) at adopting the left lateral decubitus position (left-lateral-decubitodeoxia) was found, as well as an increase in the anatomical venoarterial short-circuit (Qs/Qt) in the same position. The resonsible factors of such changes in SaO2 and Qs/Qt related with the body position are analyzed, and the, exceptional in these patients, finding of alteration of pulmonary mechanics is commented.
本文描述了一例患有遗传性出血性毛细血管扩张症（Rendu-Osler-Weber病）并伴有位于左下肺叶尖段的肺动静脉瘘的女性患者。发现患者在采取左侧卧位时动脉血氧饱和度（SaO2）下降（左侧卧位低氧血症），且在同一位置解剖性静脉-动脉短路（Qs/Qt）增加。分析了与体位相关的SaO2和Qs/Qt发生此类变化的相关因素，并对这些患者中罕见的肺力学改变这一发现进行了评论。
