頁籤選單縮合
題名 | 法燈永照之島--斯里蘭卡的佛教藝術 |
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作者 | 劉良佑; | 書刊名 | 典藏古美術 |
卷期 | 115 2002.04[民91.04] |
頁次 | 頁125-131 |
分類號 | 224.5 |
關鍵詞 | 斯里蘭卡; 佛教藝術; |
語文 | 中文(Chinese) |
中文摘要 | 肝臟血管內皮瘤為一罕見疾病。本文報告二例早期以呼吸窘迫和心臟衰辦表現之肝臟血管內皮瘤嬰兒,分別以低劑量類固醇和肝動脈血管結紮術治療,經過12個月追蹤,二例症狀均緩解並且沒有發生其他後遺症。 本文報告的主要目的,途了回顧這二例,早期以心臟衰辦表現之肝臟血管內皮瘤嬰兒的臨床表現及治療過程;其中第一例胎兒蛋白在第14天大時高達263,43μg/L而另一例則正常;並強調嬰兒之肝臟其中血管內皮瘤所導致的心臟衰辦是可以由治療而得以改善,包括類固醇治療及肝動脈結紮。雖然單純的肝臟血管內皮瘤是可能自動痊癒;但症狀若無法早期改善,心臟衰辦持續惡化的結果將可能導致死亡。此外,鑑別肝臟血管內皮瘤和惡性腫瘤上是必需的。 |
英文摘要 | Hepatic hemangioendothelima is rare. We report on hepatic hemangioendothelimas in 2 young infants, with initial manifestations of respiratory distress and congestive heart failure. Serum alpha-fetoprotein (αFP) level was as high as 26,343 μg/l at 14days old in 1case, but was only 18 μg/l in other case. The 2 patients were treated with prednisolone and hepatic artery ligation, respectively, with no residual sequelae after 12months of follow-up. In this article, the clinical courses of these 2 young infants are reviewed, and the management of infantile hepatic hemangoendothelioma complicated with heart failure is discussed. In our experience, early heart failure caused by infantile hepatic hemangioendothelioma can be well controlled, especially with prednisolone therapy or by hepatic artery ligation. Spontaneous regression has been reported. However, without early recognition and therapeutic intervention, progression to decomplensated heart failure may lead to death. Furthermore, it is necessary to differentiate infantile hepatic hemangioendothelima (IHH) from hepatic malignancies. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。