Spirometer SPIROVIT SP-1
Lung Volumes and capacities
Lung Volumes and Capacities
Primary pulmonary hypertension (PPH)
The child 13 yrs old with PPH.
Weight - 33,5 kg (norm - 44,1 ± 8,68 kg), height - 144 cm (average 155,7 ± 6,57 cm). There are mixed apnea, tachypnea to 38 per minute. Skin is pale, cyanosis of the lips, acrocyanosis.
Deformation of the terminal phalanges as "drumsticks" and "watch glasses", enlargement of the abdomen (ascites) in patient with PPH.
ECG of patient with PPH. Sinus tachycardia (cardiac rate 140 per minute).
Rightgram. Atrioventricular blockade Іst. (PQ–0,20"). Expressed hypertrophy of right
ventricular. Dilatation of the both auricles.
A. Hypertrophy of media and adventitia of small pulmonary arteries.
B. Concentric intimal fibrosis of pulmonary arteries with a diameter of 180 microns, there is also hypertrophy of the middle and the outer shell of the vessel.
C. Obliteration of the lumen of the pulmonary artery.
D. Plexiform defect. Note the absence of elastic membrane in the wall plexiform structure.
Increasing x 100. Coloured by Verhoeff's - Van Gieson.
Muscularization of arterioles: a - hematoxylin and eosin. ґ400 b - immunohistochemical coloration on actin of smooth muscle (SMA). ґ200.
Necrotizing arteritis. Coloured Rechanaled thrombus of branch of
by hematoxylin and pulmonary artery. Coloured
eosin ґ100.. by hematoxylin and eosin ґ40.
EchoCG. A-wave is escaped.