Broux R, Bury J, Marcelle R, Focan C, Boland J, Lisin N
Arch Mal Coeur Vaiss. 1976 Apr;69(4):419-25.
As a clinical feature, and sometimes as a feature of the special mechanical tests of ventilation, bronchospasm has been found by the authors to be associated with pulmonary embolus. Bronchospasm was found to be the commonest feature in the 45 patients studied. The sudden onset of bronchospasm must be regarded as strong evidence for pulmonary embolus, especially in patients with a past history of bronchitis. The mechanism of these asthma-like features is discussed. The authors impugn the adrenergic system both to explain the bronchial overactivity of the patients with pulmonary embolus, and to understand how the attack commences.
作为一种临床特征,有时作为通气特殊力学检查的一项特征,作者发现支气管痉挛与肺栓塞有关。在研究的45例患者中,支气管痉挛是最常见的特征。支气管痉挛的突然发作必须被视为肺栓塞的有力证据,尤其是在有支气管炎病史的患者中。本文讨论了这些类似哮喘特征的机制。作者质疑肾上腺素能系统,以此来解释肺栓塞患者的支气管过度活动,并了解发作是如何开始的。