| 双侧完全性肺静脉回流异常及心、肺病变——附6例尸解报告 |
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| 引用本文： | 归良桢,陈伟卿,陈忠年.双侧完全性肺静脉回流异常及心、肺病变——附6例尸解报告[J].复旦学报(医学版),1985(3). |
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| 作者姓名： | 归良桢 陈伟卿 陈忠年 |
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| 作者单位： | 上海市儿童医院病理科
(归良桢，陈伟卿)，上海第一医学院基础医学部病理解剖学教研室(陈忠年) |
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| 摘 要： | 本文报道6例小儿双侧完全性隔上型肺静脉回流异常(简称APVR)的心脏和肺部病变。其特点为右侧房室扩大;肺组织淤血及肺小动脉管壁中层增厚。按Haworfh法侧量6例肺小动脉管壁厚度和血管外周直径,结果血管壁厚度占血管直径之百分比为43～90％,而死于非心血管病患者的百分比为16～64％。提示APVR患者肺小动脉管壁的病变十分严重。患者多死于右心衰竭或肺炎。
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| 关 键 词： | 肺静脉回流异常 垂直静脉 隔上型 |
BILATERAL COMPLETE ANOMALOUS PULMONARY VENOUS RETURN AND PULMONARY ARTERIOLAR CHANGE |
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| GUI LIANGZHEN CHEN WEIQING,CHEN ZHONGNIAN.BILATERAL COMPLETE ANOMALOUS PULMONARY VENOUS RETURN AND PULMONARY ARTERIOLAR CHANGE[J].Fudan University Journal of Medical Sciences,1985(3). |
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| Authors: | GUI LIANGZHEN CHEN WEIQING CHEN ZHONGNIAN |
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| Abstract: | The prominent pathological changes in 6 autopsy cases of bilateral complete anomalous pulmonary venous return (APVR) were found in the right heart, pulmonary arterioles and pulmonary parenchymatous tissue. The pathological changes resulted from pulmonary hypertension and were characterized by marked dilatation of right auricle and ventricle, and thickening of the media of small arteries. Abnormal thickness of the walls caused it to comprise 43-90% of the tatal diameter of the vessels. The relations in non-cardiovascular oases were 36-42%. Pulmonary congestion and edema in various degrees were present in all 6 cases. The common causes mostfrequent cause of death in these cases were right heart failure and bronchial pneumonia. |
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| Keywords: | anomalous pulmonary venous return (APVR) vertical vein: supradia-phragmatic type |
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