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端坐呼吸的罕见病因:酷似左心室衰竭的原发性气管肿瘤

Unusual cause of orthopnoea: primary tracheal tumour mimicking left ventricular failure.

作者信息

Antonios T F, Singer D R, Millard F J, Wilson A G, MacGregor G A

机构信息

Blood Pressure Unit, St George's Hospital and Medical School, London, UK.

出版信息

Postgrad Med J. 1994 Dec;70(830):910-2. doi: 10.1136/pgmj.70.830.910.

DOI:10.1136/pgmj.70.830.910
PMID:7870640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2398037/
Abstract

An 84 year old woman who was a heavy smoker presented with clinical features suggestive of acute exacerbation of chronic obstructive lung disease complicated by left ventricular failure. She responded poorly to treatment and then the finding of stridor, only when she was in the supine position, led to the diagnosis of a primary tracheal tumour, a rare but important cause of unexplained shortness of breath.

摘要

一位84岁的重度吸烟女性,出现了提示慢性阻塞性肺疾病急性加重并伴有左心衰竭的临床特征。她对治疗反应不佳,随后发现只有在仰卧位时出现喘鸣,从而诊断为原发性气管肿瘤,这是导致不明原因气短的一种罕见但重要的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb6/2398037/b8e8976cd2a6/postmedj00048-0056-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb6/2398037/e987a78e3cfd/postmedj00048-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb6/2398037/b8e8976cd2a6/postmedj00048-0056-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb6/2398037/e987a78e3cfd/postmedj00048-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cb6/2398037/b8e8976cd2a6/postmedj00048-0056-b.jpg

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本文引用的文献

1
Primary tracheal tumours: a national survey.原发性气管肿瘤:一项全国性调查。
Thorax. 1993 Jul;48(7):688-92. doi: 10.1136/thx.48.7.688.
2
Tracheal obstruction presenting as asthma.表现为哮喘的气管阻塞
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Primary cancers of the trachea.原发性气管癌
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Thorax. 1987 Jun;42(6):440-4. doi: 10.1136/thx.42.6.440.
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Late onset asthma?
Eur Respir J. 1991 Feb;4(2):239-41.
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Upper airway obstruction--a report on sixteen patients.上呼吸道梗阻——16例患者的报告。
Q J Med. 1976 Oct;45(180):625-45.
7
Tracheal tumors. A radiological, clinical, and pathological evaluation of 84 cases.
Radiol Clin North Am. 1978 Aug;16(2):227-46.
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Intrathoracic tracheal tumour presenting as asthma.表现为哮喘的胸段气管肿瘤
Br Med J. 1977 Nov 19;2(6098):1332. doi: 10.1136/bmj.2.6098.1332.