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孤立性支气管血管瘤致反复咯血 1 例报告。

Isolated bronchial hemangioma causing recurrent hemoptysis: A case report.

机构信息

Department of Interventional Medicine, Zhongshan People's Hospital, Guangdong, China.

出版信息

Medicine (Baltimore). 2023 Nov 17;102(46):e36135. doi: 10.1097/MD.0000000000036135.

DOI:10.1097/MD.0000000000036135
PMID:37986342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10659665/
Abstract

RATIONAL

The development of bronchial hemangioma in adults is rare, and massive hemoptysis due to diffuse vascular proliferation of bronchial hemangioma is fatal.

PATIENT CONCERNS

A case of a 29-year-old woman kept massive hemoptysis even after being underwent repeated interventional embolization for recurrent massive hemoptysis. Eventually, the patient was performed the operation of right upper lung lobectomy and bronchial hemangioma with extracorporeal membrane oxygenation support and was followed up for 4 years without recurrent hemoptysis.

DIAGNOSES

Bronchial hemangioma.

CONCLUSION

For patients with bronchial angiomas bonded with bronchial artery-pulmonary arteriovenous fistulae, the early surgical resection is recommended if bronchial artery embolization (BAE) is considered ineffective.

摘要

理性

成人支气管血管瘤的发生较为罕见，弥漫性支气管血管瘤血管增生导致大量咯血可致命。

患者关注

一位 29 岁女性反复大咯血，行多次介入栓塞治疗后仍持续大量咯血。最终，患者行右上肺叶切除+支气管血管瘤切除术，体外膜肺氧合支持，术后 4 年无复发咯血，随访至今。

诊断

支气管血管瘤。

结论

对于合并支气管动脉-肺动静脉瘘的支气管血管瘤患者，如果考虑支气管动脉栓塞（BAE）无效，建议早期手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/3c84c5dc1cf6/medi-102-e36135-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/4b10780f4bdc/medi-102-e36135-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/ca0a46ff068e/medi-102-e36135-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/418be01cd331/medi-102-e36135-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/6ca56779fea4/medi-102-e36135-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/3c84c5dc1cf6/medi-102-e36135-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/4b10780f4bdc/medi-102-e36135-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/ca0a46ff068e/medi-102-e36135-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/418be01cd331/medi-102-e36135-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/6ca56779fea4/medi-102-e36135-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8254/10659665/3c84c5dc1cf6/medi-102-e36135-g005.jpg

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