作者对20年来作二尖瓣粘连切开术者(250例)作肺淋巴造影观察。认为心脏病患者的肺淋巴管畸形,在并发肺-胸膜疾病的病理生理变化中起重要作用。 1.急性肺水肿作二尖瓣手术的100例患者中,有18例以往曾至少发生过一次急性肺水肿。肉眼观察可见下叶背面和膈面胸膜下淋巴管明显变粗,其中15例上叶的肺小叶周围淋巴管和左锁骨下淋巴管明显扩张,淋巴管造影清晰地显示胸膜下肺小叶周围的六边形,在其边缘见有小叶间的粗大淋巴管,在其表面往 The author of 20 years for mitral valve adhesions incision (250 cases) for lung lymphography. It is believed that pulmonary lymphangitic deformities in patients with heart disease play an important role in the pathophysiological changes associated with pulmonary-pleural disease. 1. Acute pulmonary edema Among the 100 patients who underwent mitral valve surgery, 18 had had at least one acute pulmonary edema in the past. Macroscopically, the lymphatic vessels on the back of the lower lobe and the diaphragmatic surface under the pleura were significantly enlarged. Among them, the lymphatic vessels around the lobes and the left subclavian lymphatics of the upper lobe of 15 cases were obviously expanded. Lymphangiography clearly showed that six Polygonal, see in its edge of the lobular coarse lymphatic vessels, toward the surface