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肺动静脉畸形:具有挑战性的诊断:一例病例报告。

Pulmonary arteriovenous malformation: Challenging diagnosis: A case report.

作者信息

Fekadu Desalegn, Kassa Seyoum, Mamo Siyasibew, Tadesse Israel, Gebeyehu Hiwot

机构信息

Department of Surgery, College of Health Sciences, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Radiol Case Rep. 2023 Aug 18;18(10):3777-3780. doi: 10.1016/j.radcr.2023.07.053. eCollection 2023 Oct.

Abstract

Pulmonary arteriovenous malformation is characterized by an anatomic right-to-left shunt between the pulmonary arteries and veins, is characterized by an anatomic right-to-left shunt which reduces the arterial oxygen saturation and then results in clinical manifestations such as dyspnea and cyanosis. Most cases are congenital, and although uncommon, they are a significant part of the differential diagnosis of pulmonary problems like hypoxemia and lung nodules. We present a case of a 60 years old female patient who presented with the complaint of exacerbation of dry cough of 1-month duration and was diagnosed with right pulmonary arteriovenous malformation and successfully treated with surgery.

摘要

肺动静脉畸形的特征是肺动脉和静脉之间存在解剖学上的右向左分流,这种分流会降低动脉血氧饱和度,进而导致呼吸困难和发绀等临床表现。大多数病例为先天性,虽然不常见,但它们是低氧血症和肺结节等肺部问题鉴别诊断的重要组成部分。我们报告一例60岁女性患者,她因持续1个月的干咳加重前来就诊,被诊断为右肺动静脉畸形,并通过手术成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc6/10468361/f0ff0d67f0f1/gr1.jpg

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