Nouvet G, David P, Duhamel J P, Morere P, Genevois A, Thiebault A, Payenneville A, Brunet A, Godlewski M, Mihout B
Poumon Coeur. 1983;39(3):139-43.
A case of large arteriovenous aneurysm in the right upper lobe of a 27-year old man is reported. The pulmonary angioma was responsible for a 30% shunt with hypoxia and polycythaemia but was only discovered while looking for the origin of a cerebral abscess. A few weeks after surgical treatment of the cerebral abscess, the right upper lobe was excised with immediate correction of the hypoxia. This case shows that pulmonary angiomas can sometimes be revealed by neurological complications, and that visceral angiomas should not remain undiagnosed. They should be considered as part of a Rendu-Osler disease, the familial character of which may contribute to an early diagnosis.
报告了一例27岁男性右上叶的大型动静脉瘤病例。肺血管瘤导致了30%的分流，并伴有缺氧和红细胞增多症，但它是在寻找脑脓肿的病因时才被发现的。在对脑脓肿进行手术治疗几周后，切除了右上叶，缺氧状况即刻得到纠正。该病例表明，肺血管瘤有时可由神经并发症揭示，而且内脏血管瘤不应被漏诊。它们应被视为遗传性出血性毛细血管扩张症的一部分，其家族性特征可能有助于早期诊断。
