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有关本病的报导,近年来較多見,但在診断与治疗方面,仍有一些問題,需待討論。本文着重对肺部急性感染的意义、物理診断、一般化驗检查的价值、心律改变及死亡原因等作初步探討。本院内科12年中(1950—1961)共收治缺氧血性肺心病137例,診断标准均按文献所載,經X线检查者共121例(透視77例,攝片44例),經心电图检查者65例。全部病例均有慢性咳嗽史,并有肺部原发病存在,有明显右心衰竭者占93.4％,仅九例虽无右心衰竭,但X线检查見右心室扩大及肺动脉段增胀,心电图检查有右心室肥厚及肺型P波,故亦列入。X线检查証明有右心室扩大及肺动脉段增
The reports about this disease are more common in recent years, but there are still some problems in diagnosis and treatment that need to be discussed. This article focuses on the significance of acute pulmonary infection, physical diagnosis, the value of general laboratory tests, changes in heart rate and cause of death for initial discussion. In our hospital 12 years (1950-1961) received a total of 137 cases of hypoxemic pulmonary heart disease, the diagnostic criteria are based on literature, a total of 121 cases by X-ray examination (77 cases of radiography, radiography 44 cases), by electrocardiogram Examiner 65 cases. All cases have a history of chronic cough, and primary pulmonary disease exists, with obvious right heart failure accounted for 93.4%, only nine cases, although no right heart failure, but the X-ray examination to see the right ventricular enlargement and pulmonary artery segment expansion, ECG right ventricular hypertrophy and pulmonary P wave, it is also included. X-ray examination showed right ventricular enlargement and pulmonary artery segment increased