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急性冠状动脉综合征合并包虫囊肿病史患者大量咯血的血管栓塞治疗

Angioembolization in massive hemoptysis for a patient with acute coronary syndrome and history of hydatid cyst.

作者信息

Seyyedi Seyed Reza, Sadr Makan, Chitsazan Mandana, Abedini Atefeh, Sharif-Kashani Babak

机构信息

Lung Transplantation Research Center, Department of Cardiology, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Cardiol Cases. 2020 Dec 1;23(5):231-233. doi: 10.1016/j.jccase.2020.11.008. eCollection 2021 May.

Abstract

Cystic echinococcosis (CE) or hydatid disease is a zoonosis caused by ingestion of the eggs of the tapeworm . Larger cysts can cause symptoms by compressing surrounding tissues. Large cysts can also rupture and cause sudden onset of cough, fever, hypersensitivity reactions, and massive hemoptysis. We report a case of hydatid cyst, which caused massive hemoptysis after an urgent percutaneous coronary intervention and was successfully controlled with bronchial artery embolization. < In patients with hydatid cyst, even old lesions, there is a possibility of bleeding and massive hemoptysis after anticoagulation treatment. Bronchial artery embolization is a safe and effective therapy in these situations, when the patient is not a good surgical candidate and the bleeding is life-threatening.>.

摘要

囊型棘球蚴病(CE)或包虫病是一种因摄入绦虫卵而引起的人畜共患病。较大的囊肿可通过压迫周围组织而引发症状。大囊肿也可能破裂,导致突然出现咳嗽、发热、过敏反应和大量咯血。我们报告一例包虫囊肿病例,该病例在紧急经皮冠状动脉介入治疗后出现大量咯血,并通过支气管动脉栓塞成功得到控制。<在患有包虫囊肿的患者中,即使是陈旧性病变,抗凝治疗后也有可能出血并发生大量咯血。当患者不是手术的合适人选且出血危及生命时,支气管动脉栓塞在这些情况下是一种安全有效的治疗方法。>

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引用本文的文献

本文引用的文献

1
Bronchial artery embolization.支气管动脉栓塞术
Semin Intervent Radiol. 2004 Mar;21(1):43-8. doi: 10.1055/s-2004-831404.
2
Echinococcosis: a review.棘球蚴病综述
Int J Infect Dis. 2009 Mar;13(2):125-33. doi: 10.1016/j.ijid.2008.03.037. Epub 2008 Oct 19.
3
Complicated hydatid cysts of the lung: clinical and therapeutic issues.肺复杂包虫囊肿:临床与治疗问题
Ann Thorac Surg. 2004 Apr;77(4):1200-4. doi: 10.1016/j.athoracsur.2003.09.046.
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Echinococcosis.棘球蚴病
Lancet. 2003 Oct 18;362(9392):1295-304. doi: 10.1016/S0140-6736(03)14573-4.
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Pulmonary echinococcosis.肺包虫病
Eur Respir J. 2003 Jun;21(6):1069-77. doi: 10.1183/09031936.03.00108403.

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