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破裂性支气管动脉瘤合并胸膜毛细血管扩张及门静脉迂曲阻塞:病例报告

Ruptured bronchial artery aneurysm associated with pleural telangiectasis and tortuous portal obstruction: report of a case.

作者信息

Ishizaki N, Shimokawa S, Tanaka K, Taira A, Onohara S, Tabata M, Sakoda K

机构信息

Second Department of Surgery, Faculty of Medicine, Kagoshima University, Japan.

出版信息

Surg Today. 1995;25(9):852-4. doi: 10.1007/BF00311467.

DOI:10.1007/BF00311467
PMID:8555709
Abstract

A 25-year-old woman presenting with an emergent condition of massive hemothorax due to a ruptured bronchial artery aneurysm was successfully treated by transcatheter arterial embolization. She had previously undergone portosystemic shunt splenopneumopexy for hepatic portal hypertension at 6 years of age. When undergoing right thoracotomy for the removal of a clot, a prominent telangiectasis on the pleural surface was noted. The lesion appeared to be a rare systemic vascular abnormality although this could not be confirmed.

摘要

一名25岁女性因支气管动脉动脉瘤破裂出现大量血胸的紧急情况,通过经导管动脉栓塞术成功治疗。她曾在6岁时因肝门静脉高压接受过门体分流脾肺固定术。在进行右胸切开术以清除血块时,发现胸膜表面有明显的毛细血管扩张。尽管无法确诊,但该病变似乎是一种罕见的系统性血管异常。

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Ruptured bronchial artery aneurysm associated with pleural telangiectasis and tortuous portal obstruction: report of a case.破裂性支气管动脉瘤合并胸膜毛细血管扩张及门静脉迂曲阻塞:病例报告
Surg Today. 1995;25(9):852-4. doi: 10.1007/BF00311467.
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本文引用的文献

1
Portopulmonary shunt by splenopneumopexy as a surgical treatment of Budd-Chiari syndrome.脾肺固定术建立门肺分流术作为布加综合征的一种外科治疗方法
Surgery. 1980 Jan;87(1):85-94.
2
Osler-Weber-Rendu syndrome with multiple angiographic findings.伴有多种血管造影表现的奥斯勒-韦伯-伦杜综合征
Br J Radiol. 1972 Jul;45(535):534-6. doi: 10.1259/0007-1285-45-535-534.
3
Medial defects of lung vessels: a new cause of pulmonary hypertension.肺血管内侧缺陷:肺动脉高压的一个新病因。
经肱头动脉支架置入及弹簧圈栓塞术对异位支气管动脉瘤进行血管内治疗:一例报告及文献复习
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Hum Pathol. 1986 Jul;17(7):722-6. doi: 10.1016/s0046-8177(86)80181-2.
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Bronchial artery aneurysm.支气管动脉瘤
Ann Thorac Surg. 1986 Apr;41(4):440-2. doi: 10.1016/s0003-4975(10)62706-3.
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Massive haemoptysis caused by spontaneous rupture of a bronchial artery.支气管动脉自发性破裂导致的大量咯血。
Thorax. 1988 Jan;43(1):71-2. doi: 10.1136/thx.43.1.71.
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Computed tomography of bronchial artery aneurysm with erosion into the esophagus.
J Comput Assist Tomogr. 1989 Nov-Dec;13(6):1069-71. doi: 10.1097/00004728-198911000-00023.
7
Mediastinal bronchial artery aneurysm: dynamic computed tomography appearance.纵隔支气管动脉瘤:动态计算机断层扫描表现
Cardiovasc Intervent Radiol. 1991 Mar-Apr;14(2):118-20. doi: 10.1007/BF02577709.
8
[A case of bronchial artery aneurysm demonstrating a mass shadow on chest X-ray film].[一例支气管动脉瘤在胸部X光片上显示为肿块阴影]
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Dec;29(12):1591-5.
9
Selective bronchial arteriography in children.儿童选择性支气管动脉造影术。
Radiol Clin (Basel). 1975;44(6):543-9.
10
Ruptured bronchial artery aneurysm mimicking aortic dissection.酷似主动脉夹层的破裂支气管动脉动脉瘤
Br Heart J. 1977 Aug;39(8):909-10. doi: 10.1136/hrt.39.8.909.