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肺源性心脏病和急性肝坏死,由作为致密性骨发育不全一部分的上呼吸道梗阻引起。

Cor pulmonale and acute liver necrosis, due to upper airway obstruction as part of pycnodysostosis.

作者信息

Aronson D C, Heymans H S, Bijlmer R P

出版信息

Eur J Pediatr. 1984 Feb;141(4):251-3. doi: 10.1007/BF00572773.

DOI:10.1007/BF00572773
PMID:6734678
Abstract

A male patient with pycnodysostosis suffered from chronic respiratory insufficiency and pulmonary hypertension. This was caused by concomitant upper airway obstruction, resulting from a low implanted uvula and a long soft palate, in combination with glossoptosis and retrognathia due to the flattened mandibular angles. An inter-current respiratory infection gave rise to an acute deterioration, with right-sided heart failure, severe liver damage and coma. Surgical shortening of the soft palate was performed, after which the blood gas values returned to normal.

摘要

一名患有致密性骨发育不全的男性患者患有慢性呼吸功能不全和肺动脉高压。这是由上呼吸道梗阻引起的,上呼吸道梗阻是由于悬雍垂低位植入和软腭过长,再加上下颌角变平导致的舌后坠和下颌后缩。一次并发的呼吸道感染导致病情急性恶化,出现右侧心力衰竭、严重肝损伤和昏迷。对软腭进行了手术缩短,术后血气值恢复正常。

相似文献

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Cor pulmonale and acute liver necrosis, due to upper airway obstruction as part of pycnodysostosis.肺源性心脏病和急性肝坏死,由作为致密性骨发育不全一部分的上呼吸道梗阻引起。
Eur J Pediatr. 1984 Feb;141(4):251-3. doi: 10.1007/BF00572773.
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引用本文的文献

1
Phagocytosis of bone collagen by osteoclasts in two cases of pycnodysostosis.两例致密性骨发育不全症中破骨细胞对骨胶原的吞噬作用
Calcif Tissue Int. 1985 Jan;37(1):25-31. doi: 10.1007/BF02557674.

本文引用的文献

1
[2 cases of a condensing osseous disease: pynodysostosis].2例骨致密性骨病:骨发育不全症
Arch Fr Pediatr. 1962 Feb;19:267-74.
2
Osteopetrosis acro-osteolytica. A syndrome of osteopetrosis, acro-osteolysis and open sutures of the skull.肢端骨质溶解型骨硬化症。一种骨硬化症、肢端骨质溶解和颅骨缝线开放的综合征。
Acta Chir Scand. 1962 Dec;124:496-507.
3
Pycnodysostosis. Clinical and genetic considerations.
Am J Dis Child. 1968 Jul;116(1):70-7. doi: 10.1001/archpedi.1968.02100020072010.
4
Pycnodysostosis. Six cases with new symptoms and an autopsy.
Acta Paediatr Scand. 1974 May;63(3):437-42. doi: 10.1111/j.1651-2227.1974.tb04824.x.
5
Pycnodysostosis in Japan: report of six cases and a review of Japaneses literature.日本的致密性成骨不全症:6例报告及日本文献综述
Birth Defects Orig Artic Ser. 1974;10(12):78-98.
6
Radiographic studies of upper airway obstruction with cor pulmonale in a patient with pycnodysostosis.一名患有致密性骨发育不全症患者上气道梗阻合并肺心病的影像学研究。
Pediatr Radiol. 1979 Feb 26;8(1):45-7. doi: 10.1007/BF00973678.