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一位存在肺血供应异常和反复感染的患者。

A patient with an aberrant pulmonary blood supply and recurrent infection.

机构信息

University of Montreal, Montreal, Quebec.

出版信息

Can Respir J. 2010 Jul-Aug;17(4):e94-5. doi: 10.1155/2010/813106.

Abstract

A case of intralobar pulmonary sequestration presenting with recurrent episodes of infection is reported. Pulmonary sequestration is a rare congenital malformation characterized by accessory lung tissue with no direct connection to the tracheobronchial tree and is supplied by an aberrant systemic artery. The aberrant artery is key to both diagnosis and treatment. The correct diagnosis may be suspected on clinical grounds and should be confirmed by identifying the lesion and aberrant artery on imaging studies. Surgical resection is curative, taking particular care not to injure the aberrant artery, which may result in devastating intraoperative hemorrhage.

摘要

本文报告了 1 例肺隔离症伴反复感染的病例。肺隔离症是一种罕见的先天性畸形,其特征为具有辅助性肺组织,与气管支气管树无直接连接,并由异常的体循环动脉供血。异常动脉是诊断和治疗的关键。临床怀疑可做出正确诊断,通过影像学检查确定病变和异常动脉可明确诊断。手术切除是治愈性的,但需要特别注意不要损伤异常动脉,否则可能导致术中灾难性出血。

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本文引用的文献

1
Diagnosis and surgical treatment of pulmonary sequestration.肺隔离症的诊断与外科治疗
Thorac Cardiovasc Surg. 2008 Apr;56(3):154-7. doi: 10.1055/s-2007-965572.
3
Thoracoscopic treatment of pulmonary sequestration.胸腔镜治疗肺隔离症
Eur J Cardiothorac Surg. 2006 May;29(5):815-8. doi: 10.1016/j.ejcts.2006.02.018. Epub 2006 Apr 4.
4
Pulmonary sequestration.肺隔离症
Paediatr Respir Rev. 2004 Mar;5(1):59-68. doi: 10.1016/j.prrv.2003.09.009.

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