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[包虫囊泡导致的大面积肺栓塞。病例报告(作者译)]

[Massive pulmonary embolism due to hydatid vesicles. Report of a case (author's transl)].

作者信息

Grau Junyent J M, Vernet Vernet M, Fernández-Huerta J M, Ramírez Ruz J, Urbano-Márquez A, Rozman C

出版信息

Med Clin (Barc). 1980 Apr 25;74(8):325-8.

PMID:7374237
Abstract

A patient with hepatic and peritoneal hydatidosis suffered acute episodes of restrictive bronchial disease for the last 2 years. The patient was admitted during the course of one of this acute episodes with clinical symptoms of pulmonary embolism. Supportive therapeutic measures were prescribed, but the patient died 12 hours latter. Autopsy revealed hepatic, peritoneal and pulmonary hidatidosis as well as multiple pulmonary thromboembolisms due to hydatid vesicles. Literature on this subject is reviewed, and different clinical forms and therapeutic possibilities are discussed. The importance of small therapeutic possibilities are discussed. The importance of small recurrent hydatid embolisms in the pathogenesis of acute or subacute cor pulmonale in patients with liver hydatidosis is stressed.

摘要

一名患有肝和腹膜包虫病的患者在过去两年中出现了限制性支气管疾病的急性发作。该患者在其中一次急性发作期间因出现肺栓塞的临床症状而入院。采取了支持性治疗措施,但患者在12小时后死亡。尸检显示有肝、腹膜和肺部包虫病,以及由包虫囊泡引起的多发性肺血栓栓塞。本文回顾了该主题的文献,并讨论了不同的临床形式和治疗可能性。还讨论了微小治疗可能性的重要性。强调了小的复发性包虫栓塞在肝包虫病患者急性或亚急性肺心病发病机制中的重要性。

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