Kerr A, Sauter D
Department of Radiology, Albert Einstein College of Medicine, Bronx, New York.
J Trauma. 1993 Sep;35(3):484-6. doi: 10.1097/00005373-199309000-00026.
Post-traumatic pulmonary arteriovenous fistula, a rare entity, was treated in a 35-year-old HIV-positive man by transcatheter embolization. When seen 4 months later, the patient had florid Pneumocystis carinii pneumonia. Generally, pulmonary angiography demonstrates such fistulae when they are not visible on chest roentgenograms. This diagnosis should be considered in patients with penetrating chest trauma when suggestive clinical or radiologic signs are present.
创伤后肺动静脉瘘是一种罕见病症,一名35岁的HIV阳性男性患者接受了经导管栓塞治疗。4个月后复诊时,该患者患有严重的卡氏肺孢子虫肺炎。一般来说,胸部X线片上不可见的此类瘘管在肺血管造影时可显示出来。当穿透性胸部创伤患者出现提示性临床或放射学征象时,应考虑这一诊断。