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拉斯穆森动脉瘤:肺结核罕见并发症的病例系列

Rasmussen aneurysm: Case series of a rare complication of Pulmonary Tuberculosis.

作者信息

Marak James R, Kumar Tushant, Gara Harsha, Dwivedi Shivam

机构信息

Department of Radiodiagnosis, Dr RMLIMS, Gomti Nagar, Lucknow, Uttar Pradesh, 226010, India.

出版信息

Respir Med Case Rep. 2023 Jul 20;45:101897. doi: 10.1016/j.rmcr.2023.101897. eCollection 2023.

Abstract

Rasmussen aneurysm refers specifically to a pseudoaneursysmal dilatation of a branch of the pulmonary artery adjacent or within a tuberculous cavity. The incidence of pulmonary vascular complication secondary to tuberculosis is very rare hence underdiagnosed by many clinicians. It can present with life threatening haemoptysis and CT angiography plays an important role in localizing the lesion and guiding treatment. On contrary the most common cause of massive haemoptysis is of bronchial artery origin. Early diagnosis and proper interventions are essential as it is associated with high mortality. Herein we report three cases of Rasmussen aneurysm in patients with haemoptysis. Only one patient underwent emergency -arterial embolization of the involved pulmonary artery.

摘要

拉斯穆森动脉瘤具体指的是肺动脉分支在结核空洞附近或内部的假性动脉瘤样扩张。继发于肺结核的肺血管并发症发生率非常低,因此许多临床医生对此诊断不足。它可表现为危及生命的咯血,CT血管造影在病变定位和指导治疗方面起着重要作用。相反,大量咯血的最常见原因是支气管动脉源性。由于其死亡率高,早期诊断和适当干预至关重要。在此,我们报告三例咯血患者的拉斯穆森动脉瘤病例。只有一名患者接受了受累肺动脉的急诊动脉栓塞术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd8/10413191/0b1a7d7f9db7/gr1.jpg

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