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死于肺结节病纤维化的病员中,慢性肺心病者一般占30～36%。本文报告21例肺结节病,6例(28.6%)有慢性肺心病的临床和/或心电图特征,内4例伴同右心衰竭。21例肺结节病均经临床、X线、活检和免疫试验证实。所有病例虽经长期肾上腺皮质激素治疗,但几年来未见X线有改变。作者从1例有肺心病的肺结节病尸体解剖资料中,分析组织学构成肺动脉高压的原因。患者临床上有用力后呼吸困难及X线呈双侧弥漫性结节状和大片浸润,心电图符合肺心病。由于呼吸困难加重并迅速出现心力衰竭疑有肺栓塞。静脉导管血管造影见左上
Among the patients who died of fibrosis of pulmonary sarcoidosis, those with chronic pulmonary heart disease generally accounted for 30-36%. This article reports 21 cases of pulmonary sarcoidosis, 6 cases (28.6%) have clinical and / or electrocardiographic features of chronic pulmonary heart disease, and 4 cases with concomitant right heart failure. 21 cases of pulmonary sarcoidosis were confirmed by clinical, X-ray, biopsy and immunoassay. Although all cases of long-term adrenal corticosteroids, but in recent years no change in X-ray. The author from a cor pulmonale of pulmonary sarcoidosis patients with pulmonary heart disease data, analysis of histological causes of pulmonary hypertension. Difficulty in clinical patients with dyspnea and bilateral bilateral diffuse nodules and extensive infiltration, ECG consistent with pulmonary heart disease. Pulmonary embolism is suspected because of increased breathlessness and rapid onset of heart failure. Venous catheter angiography see the left