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慢性肺源性心脏病(CCP)常可合并多脏器或多系统损害或衰竭,其中尤以心、肾、中枢神经系统受累最为常见,内分泌系统也可能会受到不同程度的损害。Agle等曾对慢性阻塞性肺疾患(COPD)患者作康复研究时,发现所研究的23例对象中,19例出现性欲减退和不同程度的阳萎,其中6例阴茎不能完全勃起达一年或数年之久。Kass等发现100例男性COPD患者,17例发生阳萎。慢性肺心病急性发作期常可合并性功能障碍,轻则性欲减退,重则阳萎和无精子。Fletcher等采用一系列新技术评判20例男性CCP患者的性功能,发现7例病情恶化者均有性功能障碍;夜间监测阴茎勃起提示6例阳萎,且均为器质性。Dopple检查周围血管包括阴茎,其脉冲图显示这些患者的平均球海绵体肌反射潜伏期为40.2毫秒,夜间能完全勃起者仅为34.5毫秒(P<0.005),但无1例有明显的周围血管病征。
Chronic pulmonary heart disease (CCP) can often be combined with multiple organ or multiple system damage or failure, especially in heart, kidney, central nervous system involvement is the most common, the endocrine system may also be different degrees of damage. Agle and other patients with chronic obstructive pulmonary disease (COPD) for rehabilitation study found that the study of 23 patients, 19 cases of loss of libido and varying degrees of impotence, of which 6 cases of penile erection can not be fully up to one year or Years ago. Kass found 100 cases of male patients with COPD, 17 cases of impotence. Chronic pulmonary heart disease often acute exacerbation of sexual dysfunction, ranging from loss of libido, but impotence and no sperm. Fletcher et al. Used a series of new techniques to evaluate the sexual function of 20 male patients with CCP and found that seven of the patients had worsening sexual dysfunction. Night monitoring of penile erection suggested impotence in 6 cases and all were organic. Dopple examined peripheral blood vessels including the penis. The pulsation maps showed that these patients had an average incubation period of 40.2 milliseconds for spontaneous myocutaneous muscles and 34.5 milliseconds for complete erection during the night (P <0.005), but none had significant peripheral vascular signs .