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[一名患有后天性肺血管化异常患者的咯血]

[Hemoptysis in a patient with acquired anomaly of the arterial vascularization of the lung].

作者信息

Scarpulla M, Librizzi D, Grassadonia M, Maragliano S, Comparetto L, D'Angelo M

机构信息

Divisione di Chirurgia Toracica, Ospedale Civico Benfratelli, Palermo.

出版信息

G Chir. 1997 Nov-Dec;18(11-12):807-9.

PMID:9534333
Abstract

An anomalous systemic pulmonary supply may be acquired and present only one symptom: hemoptysis. The incidence of this pathology is unknown. A case of acquired systemic pulmonary arterialization was observed after surgical intervention of myocardium vascularization with the left mammary artery. The diagnosis was obtained through an arteriography of the left mammary artery. In this case, the therapy consists in ablating the affected parenchyma followed by the interposition of a bovine pericardium patch between the mammary artery and the remaining pulmonary tissue.

摘要

异常的体肺分流可能是后天获得性的,且仅表现出一种症状:咯血。这种病理情况的发病率尚不清楚。在使用左乳内动脉进行心肌血管重建手术干预后,观察到一例后天性体肺动脉化病例。通过左乳内动脉造影术做出诊断。在这种情况下,治疗方法包括切除受影响的实质组织,然后在乳内动脉与剩余肺组织之间置入一片牛心包补片。

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