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纵隔放疗后单侧肺透亮度增加。

Unilateral lung hyperlucency after mediastinal irradiation.

作者信息

Wencel M L, Sitrin R G

机构信息

Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109-0360.

出版信息

Am Rev Respir Dis. 1988 Apr;137(4):955-7. doi: 10.1164/ajrccm/137.4.955.

DOI:10.1164/ajrccm/137.4.955
PMID:3355004
Abstract

A 39-yr-old woman developed progressive exertional dyspnea 13 yr after receiving mediastinal irradiation for Hodgkin's disease. Chest roentgenogram showed a hyperlucent right lung. Pulmonary blood flow was markedly reduced on the right by ventilation-perfusion scanning. Pulmonary angiography showed attenuation and diffuse atrophy of the right pulmonary artery and its branches. This case represents a late and uncommon complication of mediastinal irradiation manifesting as a unilateral hyperlucent lung.

摘要

一名39岁女性在接受霍奇金病纵隔放疗13年后出现进行性劳力性呼吸困难。胸部X线片显示右肺透亮度增加。通气灌注扫描显示右肺血流明显减少。肺血管造影显示右肺动脉及其分支变细和弥漫性萎缩。该病例代表纵隔放疗的一种晚期且罕见的并发症,表现为单侧肺透亮度增加。

相似文献

1
Unilateral lung hyperlucency after mediastinal irradiation.纵隔放疗后单侧肺透亮度增加。
Am Rev Respir Dis. 1988 Apr;137(4):955-7. doi: 10.1164/ajrccm/137.4.955.
2
[Atrioventricular block, a complication of radiotherapy of the mediastinum].[房室传导阻滞,纵隔放疗的一种并发症]
Arch Mal Coeur Vaiss. 1989 Jun;82(6):935-9.
3
The effect of the respiratory cycle on mediastinal and lung dimensions in Hodgkin's disease. Implications for radiotherapy gated to respiration.呼吸周期对霍奇金病纵隔及肺尺寸的影响。对呼吸门控放疗的启示。
Cancer. 1987 Sep 15;60(6):1232-7. doi: 10.1002/1097-0142(19870915)60:6<1232::aid-cncr2820600612>3.0.co;2-f.
4
Mini-review on cardiac complications after mediastinal irradiation for Hodgkin lymphoma.霍奇金淋巴瘤纵隔放疗后心脏并发症的小型综述。
Neth J Med. 2008 Jun;66(6):234-7.
5
Case records of the Massachusetts General Hospital. Case 24-2010. A 56-year-old woman with a history of Hodgkin's lymphoma and sudden onset of dyspnea and shock.
N Engl J Med. 2010 Aug 12;363(7):664-75. doi: 10.1056/NEJMcpc1004087.
6
Respiratory function tests after mantle irradiation in patients with Hodgkin's disease.
Acta Radiol Oncol. 1984;23(6):401-9. doi: 10.3109/02841868409136039.
7
[Radiotherapy of Hodgkin's disease with extensive mediastinal involvement].
Strahlenther Onkol. 1986 Feb;162(2):88-92.
8
Mediastinal fibrosis simulating residual Hodgkin's disease.纵隔纤维化酷似残留霍奇金病。
Am J Med Sci. 1984 Jan-Feb;287(1):40-2. doi: 10.1097/00000441-198401000-00009.
9
[Surgical treatment of an esophagotracheal fistula caused by roentgen therapy for mediastinal Hodgkin's disease].[纵隔霍奇金病X线治疗所致食管气管瘘的外科治疗]
Orv Hetil. 1980 Apr 27;121(17):1023-5.
10
Is the dose-response relationship for local control of Hodgkin's disease obscured by lung inhomogeneity corrections?霍奇金病局部控制的剂量反应关系是否会因肺部不均匀性校正而变得模糊不清?
Radiother Oncol. 1991 Nov;22(3):195-200. doi: 10.1016/0167-8140(91)90024-b.

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