Vohra N, Alvarez M, Abramson A F, Lockwood C J
Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Medical Center, New York, New York.
Obstet Gynecol. 1992 Sep;80(3 Pt 2):483-5.
Hypoplastic pulmonary artery is an unusual congenital malformation. We describe a case of hypoplastic pulmonary artery diagnosed during the third trimester of pregnancy. The clinical and radiologic features mimicked pulmonary embolism, including hemoptysis, chest pain, pleural effusion, mild hypoxemia, and a suggestive ventilation-perfusion scan. Accurate differentiation of this entity from pulmonary embolism is necessary to obviate the need for prolonged anticoagulation.
肺动脉发育不全是一种罕见的先天性畸形。我们描述了一例在妊娠晚期诊断出的肺动脉发育不全病例。其临床和放射学特征类似于肺栓塞,包括咯血、胸痛、胸腔积液、轻度低氧血症以及具有提示意义的通气-灌注扫描。将该病症与肺栓塞准确区分开来对于避免长期抗凝治疗的必要性至关重要。