Gonzalez R, Pieper W M, Hofmann-v Kap-herr S
Z Kinderchir. 1985 Apr;40(2):101-3. doi: 10.1055/s-2008-1059725.
We report two cases of children with pulmonary arteriovenous fistula treated at the University Clinic of Mainz. This angiodysplasia is relatively more diffuse and the clinical signs are more marked in childhood. The non-invasive techniques should be preferred for diagnosis. Complications occur frequently even in asymptomatic children so it is recommended to operate them. The local excision without extirpation of lung tissue should be preferred to segmentectomy or lobectomy for peripheral lesions. Therapeutic embolisation should be tried in inoperable cases.
我们报告了在美因茨大学诊所治疗的两例儿童肺动静脉瘘病例。这种血管发育异常相对更弥漫，且临床体征在儿童期更为明显。诊断时应首选非侵入性技术。即使是无症状儿童也经常出现并发症，因此建议对其进行手术。对于周围性病变，应首选不切除肺组织的局部切除术，而非肺段切除术或肺叶切除术。对于无法手术的病例，应尝试进行治疗性栓塞。
