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[一名患有颈及肺动静脉畸形儿童的咯血。病例报告]

[Hemoptysis in a child with cervical and pulmonary arteriovenous malformation. Case report].

作者信息

Cuestas Giselle, Demarchi María Victoria, Martínez Corvalán María Pía, Razetti Juan, Boccio Carlos

机构信息

Servicio de Otorrinolaringología Infantil, Hospital Italiano de Buenos Aires, Buenos Aires.

出版信息

Arch Argent Pediatr. 2015 Jan;113(1):e34-8. doi: 10.5546/aap.2015.e34.

Abstract

Hemoptysis is the expectoration of blood from the subglottic airway. The main causes in children are infections of the lower respiratory tract and aspiration of foreign bodies. Pulmonary arteriovenous malformation is a rare etiology of hemoptysis, which involves abnormal communication between the arterial and venous system. Most vascular malformations are present at birth and enlarge proportionately with the growth of the child. Signs and symptoms include dyspnea, exercise intolerance, cyanosis and hemorrhagic or neurologic complications. We describe the clinical manifestations, diagnostic methods and treatment of a child with this disease. We emphasize the importance of efficient systematic evaluation in every child with hemoptysis to identify the underlying etiology, since immediate treatment is essential because of the potential severity of this condition.

摘要

咯血是指声门下气道出血并咳出。儿童咯血的主要原因是下呼吸道感染和异物吸入。肺动静脉畸形是咯血的一种罕见病因,涉及动静脉系统之间的异常交通。大多数血管畸形在出生时就已存在,并随着儿童的生长而按比例增大。体征和症状包括呼吸困难、运动不耐受、发绀以及出血或神经并发症。我们描述了一名患有这种疾病的儿童的临床表现、诊断方法和治疗。我们强调,对每一位咯血儿童进行有效的系统评估以确定潜在病因非常重要,因为鉴于这种情况的潜在严重性,立即治疗至关重要。

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