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[一种罕见且鲜为人知的发绀原因:肺动静脉瘤]

[A rare and little known cause of cyanosis: pulmonary arteriovenous aneurysm].

作者信息

Brigui M, Harbi A, Khalfallah A, Mokaddem H, Remadi F, Essoussi A S

机构信息

Service de Cardiologie, CHU de SOUSSE, Tunisie.

出版信息

Ann Pediatr (Paris). 1991 Oct;38(8):572-5.

PMID:1746857
Abstract

Cyanosis with digital clubbing and a systolic murmur were found in a five and a half-year-old. The usual causes of cyanosis, including congenital heart disease, were discussed. Correct diagnosis was, however, arteriovenous aneurysm of the lung which was seen on the pulmonary angiogram. The lung density on chest films and lack of echocardiographic evidence of congenital heart disease might have suggested this infrequent malformation. Permanent cure was achieved by removing the lower and middle lobes of the right lung.

摘要

在一名五岁半的儿童身上发现了伴有杵状指的发绀和收缩期杂音。讨论了发绀的常见病因,包括先天性心脏病。然而,正确诊断为肺动静脉瘤,这在肺血管造影中可见。胸部X光片上的肺部密度以及缺乏先天性心脏病的超声心动图证据可能提示了这种罕见的畸形。通过切除右肺下叶和中叶实现了根治。

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