青少年支气管迪厄拉富瓦病的支气管内超声及支气管动脉栓塞治疗：一例报告

Ganganah Oormila, Guo ShuLiang, Chiniah Manu, Sah Shambhu Kumar, Wu Jinxing

Department of Respiratory Medicine, First Affiliated Hospital of Chongqing Medical University Chongqing, Chongqing, China.

Respir Med Case Rep. 2015 May 27;16:20-3. doi: 10.1016/j.rmcr.2015.04.007. eCollection 2015.

Dieulafoy's disease of the bronchus is a relatively rare cause of hemoptysis. It can be completely asymptomatic and diagnosed as an incidental finding on bronchoscopy. At the other end of the spectrum, it can present with potentially fatal hemorrhage. We present a case of a 13-year old boy who suffered from massive hemoptysis. Endobronchial ultrasound (EBUS) and bronchial artery embolization (BAE) proved useful in the initial management. This case may support the role of EBUS in the diagnosis of Dieulafoy's disease as well as other intrapulmonary vascular lesions.

支气管迪厄拉富瓦病是咯血相对少见的病因。它可以完全没有症状，在支气管镜检查时作为偶然发现而被诊断。在另一个极端情况下，它可表现为潜在致命性出血。我们报告一例13岁男孩发生大量咯血的病例。支气管内超声（EBUS）和支气管动脉栓塞术（BAE）在初始治疗中证明是有用的。该病例可能支持EBUS在诊断迪厄拉富瓦病以及其他肺内血管病变中的作用。