Hurvitz C H, Greenberg S H, Song C H, Gans S L
J Pediatr Surg. 1982 Feb;17(1):73-5. doi: 10.1016/s0022-3468(82)80332-1.
Hemangiomatosis involving the pleura is a rare cause of bloody pleural effusion in the neonate. When congestive heart failure and consumption coagulopathy are associated, the prognosis is particularly grave. Corticosteroids and radiation therapy have been reported to shrink hemangiomas. We present such a case in a 2.5-mo-old whose condition did not appear to respond to prednisone or radiation therapy but resolved quickly when cyclophosphamide was given. In this case cyclophosphamide appeared to be life saving.
累及胸膜的血管瘤病是新生儿血性胸腔积液的罕见病因。当合并充血性心力衰竭和消耗性凝血病时,预后尤为严重。据报道,皮质类固醇和放射治疗可使血管瘤缩小。我们报告了一名2.5个月大的患儿,其病情对泼尼松或放射治疗无反应,但给予环磷酰胺后迅速缓解。在该病例中,环磷酰胺似乎挽救了患儿生命。