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在全身麻醉期间因大咯血而发现的淋巴管平滑肌瘤病——病例报告。

Lymphangiomyomatosis discovered by massive hemoptysis during general anesthesia -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.

出版信息

Korean J Anesthesiol. 2012 Apr;62(4):371-4. doi: 10.4097/kjae.2012.62.4.371. Epub 2012 Apr 23.

DOI:10.4097/kjae.2012.62.4.371
PMID:22558505
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3337385/
Abstract

Lymphangiomyomatosis (LAM) is a rare lung disease that is characterized by the progressive proliferation of atypical smooth muscle-like cells, which leads to severe respiratory impairment and death. Dyspnea, cough, recurrent pneumothorax, and hemoptysis are the most common clinical symptoms of LAM. We report a 29-year-old female patient with massive hemoptysis during laparoscopic gynecologic surgery under general anesthesia, who was diagnosed with pulmonary LAM.

摘要

淋巴管平滑肌瘤病（LAM）是一种罕见的肺部疾病，其特征为不典型平滑肌样细胞的进行性增殖，导致严重的呼吸功能障碍和死亡。呼吸困难、咳嗽、复发性气胸和咯血是 LAM 的最常见临床症状。我们报告了一例 29 岁女性患者，在全身麻醉下接受腹腔镜妇科手术时发生大量咯血，被诊断为肺部 LAM。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8d3/3337385/1269dc18906c/kjae-62-371-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8d3/3337385/4400a365cc17/kjae-62-371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8d3/3337385/2f4381e8a13c/kjae-62-371-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8d3/3337385/1269dc18906c/kjae-62-371-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8d3/3337385/4400a365cc17/kjae-62-371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8d3/3337385/2f4381e8a13c/kjae-62-371-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8d3/3337385/1269dc18906c/kjae-62-371-g003.jpg

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Lymphangiomyomatosis discovered by massive hemoptysis during general anesthesia -A case report-.在全身麻醉期间因大咯血而发现的淋巴管平滑肌瘤病——病例报告。
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本文引用的文献

1
The effect of pneumoperitoneum and Trendelenburg position on respiratory mechanics during pelviscopic surgery.腹腔镜手术中气腹和头低脚高位对呼吸力学的影响。
Korean J Anesthesiol. 2010 Nov;59(5):329-34. doi: 10.4097/kjae.2010.59.5.329. Epub 2010 Nov 25.
2
European Respiratory Society guidelines for the diagnosis and management of lymphangioleiomyomatosis.欧洲呼吸学会淋巴管平滑肌瘤病诊断与管理指南。
Eur Respir J. 2010 Jan;35(1):14-26. doi: 10.1183/09031936.00076209.
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Lymphangioleiomyomatosis.淋巴管平滑肌瘤病
Cancer Control. 2006 Oct;13(4):276-85. doi: 10.1177/107327480601300405.
4
Pregnancy complicated with pulmonary lymphangioleiomyomatosis: case report.妊娠合并肺淋巴管平滑肌瘤病：病例报告
Clin Exp Obstet Gynecol. 2005;32(3):199-200.
5
The US experience with lung transplantation for pulmonary lymphangioleiomyomatosis.美国肺淋巴管平滑肌瘤病肺移植的经验。
J Heart Lung Transplant. 2005 Sep;24(9):1247-53. doi: 10.1016/j.healun.2004.09.013.
6
Embolization of a bleeding renal angiomyolipoma in pregnancy: case report and review.妊娠期出血性肾血管平滑肌脂肪瘤的栓塞治疗：病例报告及文献复习
Cardiovasc Intervent Radiol. 2005 Mar-Apr;28(2):265-8. doi: 10.1007/s00270-004-1850-2.
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Pregnancy and lymphangioleiomyomatosis: anaesthetic management.妊娠与淋巴管平滑肌瘤病：麻醉管理
Int J Obstet Anesth. 2003 Jan;12(1):40-4. doi: 10.1016/s0959-289x(02)00138-3.
8
Clinical experience of lymphangioleiomyomatosis in the UK.英国淋巴管平滑肌瘤病的临床经验。
Thorax. 2000 Dec;55(12):1052-7. doi: 10.1136/thorax.55.12.1052.
9
[Treatment of pulmonary lymphangioleiomyomatosis using a GnRH agonist].[使用促性腺激素释放激素激动剂治疗肺淋巴管平滑肌瘤病]
Rev Mal Respir. 1996 Jul;13(3):300-4.
10
[2 cases of lymphangioleiomyomatosis treated by hormonal manipulation].[2例采用激素调控治疗的淋巴管平滑肌瘤病]
Ugeskr Laeger. 1993 Jul 26;155(30):2354-6.