Stage P, Movild B, Hesse B, Steinmetz E
Acta Radiol Diagn (Stockh). 1976 Jul;17(4):417-24. doi: 10.1177/028418517601700405.
Pulmonary congestion in chronic heart disease was evaluated by lung auscultation and roentgen examination of the chest and compared with pressure recording of the pulmonary circulation in 49 cases. Whereas auscultation appeared not to be correlated to the pressures, the radiologic findings proved to be a reliable measure of increased pressures. The radiologic assessment was based on isolated flow shift to the upper lobes of the lungs, indicating slight pulmonary venous hypertension, and flow shift in association with blurring of the lower lobe vessels, indicating pulmonary interstitial oedema. In distinction to the results from acute cardiac failure interlobular septa were often demonstrated in association with pulmonary interstitial oedema, and pulmonary alveolar oedema rarely demonstrated in spite of marked pulmonary venous hypertension.
通过肺部听诊、胸部X线检查对49例慢性心脏病患者的肺充血情况进行了评估，并与肺循环压力记录进行了比较。听诊结果似乎与压力无关，而放射学检查结果被证明是压力升高的可靠指标。放射学评估基于肺上叶单纯血流转移（提示轻度肺静脉高压）以及伴有下叶血管模糊的血流转移（提示肺间质水肿）。与急性心力衰竭的结果不同，肺间质水肿常伴有小叶间隔显示，尽管存在明显的肺静脉高压，但很少显示出肺泡水肿。
