Van Mieghem W, Verleden G, Demedts M
Department of Pneumology, University Hospitals Leuven, U.Z. Pellenberg, Pellenberg, Belgium.
Acta Cardiol. 1994;49(5):483-8.
Acute pulmonary oedema with normal pulmonary capillary wedge pressure, occurred in 2 patients with primary pulmonary hypertension, probably due to venoocclusive diseases. In both cases an increase in cardiac output induced by vasodilator therapy with a calcium antagonist or a viral infection with fever lead to an increase in hydrostatic pulmonary capillary pressure which was not identical to the pulmonary capillary wedge pressure.
2例原发性肺动脉高压患者发生了肺毛细血管楔压正常的急性肺水肿，可能是由于静脉闭塞性疾病所致。在这两例病例中，使用钙拮抗剂进行血管扩张剂治疗或病毒感染伴发热引起的心输出量增加，导致肺毛细血管静水压升高，而这与肺毛细血管楔压并不相同。
