Beji M, Louzir B, el Mekki F, Jouini S, Mahouachi R, Daghfous J
Service de Pneumologie-Allergologie, Centre Hospitalo-Universitaire de La Rabta, Bab Saadoun, Tunis (Tunisie).
Rev Mal Respir. 1997 Apr;14(2):129-31.
We report a case in a patient aged 28 admitted with haemoptysis and dyspnoea. The chest x-ray showed multiple disseminated hydatid cysts throughout the lung fields. Computerized tomography and an abdominal echo found a hydatid cyst of the liver in contact with inferior vena cava which was probably responsible for the secondary pulmonary dissemination. Subsequently there was a multiplication of the lesions with rupture and infection of several cysts. After two years the disease progressed into chronic respiratory failure with the appearance of chronic cor pulmonale. The respiratory state rapidly worsened with several episodes of cardiorespiratory failure. Death occurred six months after the appearance of CPC.
我们报告一例28岁因咯血和气促入院的患者。胸部X光显示双肺野有多个散在的包虫囊肿。计算机断层扫描和腹部超声检查发现肝脏有一个包虫囊肿与下腔静脉相连,这可能是导致继发性肺播散的原因。随后,病变增多,多个囊肿破裂并感染。两年后,疾病进展为慢性呼吸衰竭并出现慢性肺源性心脏病。呼吸状态迅速恶化,出现多次心肺衰竭发作。慢性肺源性心脏病出现六个月后患者死亡。