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纵隔纤维化患者上腔静脉综合征和咯血的治疗

Treatment of SVC syndrome and hemoptysis in a patient with mediastinal fibrosis.

作者信息

Thomas Bradley P, Bream Peter R, Milstone Aaron P, Meranze Steven G

机构信息

Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, R-1318 MCN, Nashville, TN 37232, USA.

出版信息

Emerg Radiol. 2006 Jul;12(5):240-3. doi: 10.1007/s10140-005-0442-z. Epub 2006 Mar 30.

DOI:10.1007/s10140-005-0442-z
PMID:16572307
Abstract

Mediastinal fibrosis can present with a multitude of symptoms, most commonly cough, dyspnea and hemoptysis. We describe a case of mediastinal fibrosis secondary to histoplasmosis, which presented with both superior vena cava syndrome (SVCS) and hemoptysis. Our patient was successfully treated with bronchial artery embolization followed by SVC stent placement during a brief hospital stay.

摘要

纵隔纤维化可表现出多种症状,最常见的是咳嗽、呼吸困难和咯血。我们描述了一例继发于组织胞浆菌病的纵隔纤维化病例,该病例同时出现了上腔静脉综合征(SVCS)和咯血。我们的患者在短暂住院期间通过支气管动脉栓塞术成功治疗,随后进行了上腔静脉支架置入术。

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Treatment of SVC syndrome and hemoptysis in a patient with mediastinal fibrosis.纵隔纤维化患者上腔静脉综合征和咯血的治疗
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引用本文的文献

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Fibrosing Mediastinitis: Uncommon Life-threatening Complication of Histoplasmosis.纤维性纵隔炎:组织胞浆菌病罕见的危及生命的并发症。
Cureus. 2018 Apr 25;10(4):e2532. doi: 10.7759/cureus.2532.
2
Endovascular Treatment of Bilateral Pulmonary Artery Stenoses and Superior Vena Cava Syndrome in a Patient with Advanced Mediastinal Fibrosis.晚期纵隔纤维化患者双侧肺动脉狭窄及上腔静脉综合征的血管内治疗
Tex Heart Inst J. 2016 Jun 1;43(3):249-51. doi: 10.14503/THIJ-15-5091. eCollection 2016 Jun.
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Percutaneous vascular stent implantation as treatment for central vascular obstruction due to fibrosing mediastinitis.

本文引用的文献

1
Bronchial and nonbronchial systemic arteries at multi-detector row CT angiography: comparison with conventional angiography.多排探测器CT血管造影术显示的支气管和非支气管体动脉:与传统血管造影术的比较
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Treatment of malignant superior vena cava syndrome by endovascular stent insertion. Experience on 52 patients with lung cancer.血管内支架置入术治疗恶性上腔静脉综合征。52例肺癌患者的经验。
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3
Open surgical and endovascular treatment of superior vena cava syndrome caused by nonmalignant disease.
经皮血管支架植入术治疗纤维性纵隔炎所致中央性血管阻塞。
Circulation. 2011 Apr 5;123(13):1391-9. doi: 10.1161/CIRCULATIONAHA.110.949180. Epub 2011 Mar 21.
非恶性疾病所致上腔静脉综合征的开放手术及血管腔内治疗
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Endovascular treatment of stenoses in the superior vena cava syndrome caused by non-tumoral lesions.非肿瘤性病变所致上腔静脉综合征狭窄的血管内治疗
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Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review.支气管及非支气管体动脉栓塞术治疗危及生命的咯血:一项综述
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The radiographic findings of fibrosing mediastinitis.纤维性纵隔炎的影像学表现。
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Mediastinal fibrosis complicating histoplasmosis.纵隔纤维化并发组织胞浆菌病。
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