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一例在自体荧光成像支气管镜检查中有异常表现的结核性支气管动脉瘤。

A Tuberculous Bronchial Artery Aneurysm with Abnormal Findings on Autofluorescence Imaging Bronchoscopy.

作者信息

Tezuka Toshifumi, Inayama Mami, Suzue Ryoko, Miyamoto Kenya, Haku Takashi

机构信息

Department of Respiratory Medicine, Tokushima Prefectural Central Hospital, Japan.

出版信息

Intern Med. 2020 Jul 1;59(13):1629-1632. doi: 10.2169/internalmedicine.3610-19. Epub 2020 Apr 2.

DOI:10.2169/internalmedicine.3610-19
PMID:32238720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7402969/
Abstract

Pulmonary tuberculosis is a common disease that may result in hemoptysis. Fetal hemoptysis is known to be related to the rupture of a pulmonary aneurysm formed in the cavity wall. We herein report a case of non-cavity pulmonary tuberculosis that developed with massive hemoptysis following bronchial artery aneurysm. Bronchial artery embolization was performed, and autofluorescence imaging bronchoscopy was conducted one month after the anti-tuberculosis treatment. Bright-green color was observed in the ulcerative lesion with a white coat, corresponding to the bronchial artery aneurysm. This is the first report of the autofluorescence imaging observation of an ulcerative lesion caused by bronchial tuberculosis.

摘要

肺结核是一种可能导致咯血的常见疾病。已知胎儿咯血与空洞壁形成的肺动脉瘤破裂有关。我们在此报告一例非空洞性肺结核病例，该病例在支气管动脉瘤形成后出现大量咯血。进行了支气管动脉栓塞术，并在抗结核治疗一个月后进行了自体荧光成像支气管镜检查。在有白色覆盖物的溃疡性病变中观察到亮绿色，对应于支气管动脉瘤。这是关于支气管结核引起的溃疡性病变的自体荧光成像观察的首例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d681/7402969/3b6e6002095d/1349-7235-59-1629-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d681/7402969/cc231aaa2497/1349-7235-59-1629-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d681/7402969/74fabece9463/1349-7235-59-1629-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d681/7402969/3b6e6002095d/1349-7235-59-1629-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d681/7402969/cc231aaa2497/1349-7235-59-1629-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d681/7402969/74fabece9463/1349-7235-59-1629-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d681/7402969/3b6e6002095d/1349-7235-59-1629-g003.jpg

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本文引用的文献

1
Efficacy and safety of super selective bronchial artery coil embolisation for haemoptysis: a single-centre retrospective observational study.超选择性支气管动脉线圈栓塞术治疗咯血的疗效与安全性：一项单中心回顾性观察研究
BMJ Open. 2017 Feb 17;7(2):e014805. doi: 10.1136/bmjopen-2016-014805.
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RGB and HSV quantitative analysis of autofluorescence bronchoscopy used for characterization and identification of bronchopulmonary cancer.用于支气管肺癌特征描述与识别的自体荧光支气管镜检查的RGB和HSV定量分析
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Bronchial aneurysm secondary to tuberculosis presenting with fatal hemoptysis: a case report and review of the literature.肺结核继发支气管动脉瘤导致致命性咯血 1 例报告并文献复习。
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Eur J Cardiothorac Surg. 2014 Mar;45(3):509-13. doi: 10.1093/ejcts/ezt437. Epub 2013 Sep 1.
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Value of autofluorescence imaging videobronchoscopy in detecting lung cancers and precancerous lesions: a review.荧光支气管镜成像在肺癌及癌前病变检测中的价值：综述。
Respir Care. 2013 Dec;58(12):2150-9. doi: 10.4187/respcare.02524. Epub 2013 Jun 13.
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[A case of tuberculous aneurysm of subclavian artery occurred in the course of treatment for miliary tuberculosis].[粟粒性肺结核治疗过程中发生锁骨下动脉结核性动脉瘤1例]
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