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一名囊性纤维化患者反复出现严重大量咯血,在肺移植前需要进行22次单独的栓塞手术:病例报告。

Extreme recurrent massive hemoptysis in a cystic fibrosis patient requiring 22 separate embolization procedures prior to lung transplantation: A case report.

作者信息

Margono Ezra, Hoffmann Jason C

机构信息

Department of Radiology, NYU Winthrop Hospital, 259 First Street, Mineola, NY, 11501 USA.

出版信息

Radiol Case Rep. 2019 Feb 8;14(4):472-475. doi: 10.1016/j.radcr.2019.01.020. eCollection 2019 Apr.

DOI:10.1016/j.radcr.2019.01.020
PMID:30787964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6370568/
Abstract

While bronchial artery embolization is an established, safe, and effective treatment for massive hemoptysis from a variety of causes including cystic fibrosis, patients rarely require more than 2 angiography and embolization treatments during their lifetime. We present a rare case of massive, recurrent hemoptysis requiring a total of 22 angiography and embolization procedures over a period of 8 years, prior to the patient receiving a double lung transplant.

摘要

虽然支气管动脉栓塞术是一种成熟、安全且有效的治疗方法,可用于治疗包括囊性纤维化在内的多种原因引起的大量咯血,但患者一生中很少需要超过2次血管造影和栓塞治疗。我们报告了一例罕见的大量复发性咯血病例,在患者接受双肺移植之前的8年时间里,总共进行了22次血管造影和栓塞手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d28/6370568/63692275fa22/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d28/6370568/63692275fa22/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d28/6370568/63692275fa22/gr1.jpg

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Extreme recurrent massive hemoptysis in a cystic fibrosis patient requiring 22 separate embolization procedures prior to lung transplantation: A case report.一名囊性纤维化患者反复出现严重大量咯血,在肺移植前需要进行22次单独的栓塞手术:病例报告。
Radiol Case Rep. 2019 Feb 8;14(4):472-475. doi: 10.1016/j.radcr.2019.01.020. eCollection 2019 Apr.
2
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本文引用的文献

1
An Interventionalist's Guide to Hemoptysis in Cystic Fibrosis.《介入医师囊性纤维化咯血指南》
Radiographics. 2018 Mar-Apr;38(2):624-641. doi: 10.1148/rg.2018170122.
2
Safety and Efficacy of Repeat Embolization for Recurrent Hemoptysis: A 16-Year Retrospective Study Including 223 Patients.重复栓塞治疗复发性咯血的安全性和疗效:一项包括 223 例患者的 16 年回顾性研究。
J Vasc Interv Radiol. 2018 Apr;29(4):502-509. doi: 10.1016/j.jvir.2017.11.015. Epub 2018 Feb 22.
3
Long-term outcomes of the bronchial artery embolization are diagnosis dependent.
支气管动脉栓塞术的长期预后取决于诊断。
Lung India. 2016 Jan-Feb;33(1):3-8. doi: 10.4103/0970-2113.173059.
4
Recurrent Bleeding, Survival, and Longitudinal Pulmonary Function following Bronchial Artery Embolization for Hemoptysis in a U.S. Adult Population.美国成年人群咯血患者经支气管动脉栓塞术后的复发性出血、生存率及纵向肺功能
J Vasc Interv Radiol. 2015 Dec;26(12):1806-13.e1. doi: 10.1016/j.jvir.2015.08.019. Epub 2015 Oct 9.
5
Bronchial artery embolization to control hemoptysis: comparison of N-butyl-2-cyanoacrylate and polyvinyl alcohol particles.支气管动脉栓塞治疗咯血:N-丁基-2-氰基丙烯酸酯与聚乙烯醇颗粒的比较。
Radiology. 2013 Nov;269(2):594-602. doi: 10.1148/radiol.13130046. Epub 2013 Jun 25.
6
Bronchial artery embolization in patients with hemoptysis including follow-up.咯血患者的支气管动脉栓塞术,包括随访。
Acta Radiol. 2011 Mar 1;52(2):143-7. doi: 10.1258/ar.2010.100302.
7
Cystic fibrosis pulmonary guidelines: pulmonary complications: hemoptysis and pneumothorax.囊性纤维化肺部治疗指南:肺部并发症:咯血和气胸。
Am J Respir Crit Care Med. 2010 Aug 1;182(3):298-306. doi: 10.1164/rccm.201002-0157OC.
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Massive hemoptysis in cystic fibrosis.囊性纤维化中的大量咯血。
Chest. 2005 Aug;128(2):729-38. doi: 10.1378/chest.128.2.729.
9
Bronchial artery embolization for the treatment of hemoptysis in patients with cystic fibrosis.支气管动脉栓塞术治疗囊性纤维化患者咯血
Am J Respir Crit Care Med. 1998 Jun;157(6 Pt 1):1951-8. doi: 10.1164/ajrccm.157.6.9708067.