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相關文獻
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頁籤選單縮合
題名 | Intrapulmonary Arteriovenous Malformation in a Patient with Type Ⅰ Gaucher's Disease=第一型高雪氏症合併肺內動靜脈畸型 |
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作 者 | 鍾世哲; 胡務亮; 王主科; 廖永祥; | 書刊名 | 胸腔醫學 |
卷期 | 19:3 民93.06 |
頁次 | 頁230-235 |
分類號 | 415.385 |
關鍵詞 | 肺內動靜脈畸型; 高雪氏症; 線圈栓塞術; Intrapulmonary AVM; Gaucher's disease; Coil embolization; |
語文 | 英文(English) |
中文摘要 | 肺部的侵犯在第一型高雪氏症(Type I Gaucher's disease)患者身上是罕見的。我們在此提出一個三十四歲的女性病例,她在十年前被診斷為高雪氏症,十年後發生肺部的動靜脈畸型(pulmonary AVM)。在孩童時期,此病患有脾臟腫大,骨頭疼痛,以及皮膚容易瘀血的現象。在高雪氏症被診斷的十年後,此病患出現呼吸喘的症狀。胸部影像學檢查,發現在其右下肺葉出現一個扭曲的管狀結構之影像。經心臟超音波顯影泡沫試驗(echocardiography with bubble test)以及心導管(cardiac catheterization)確定診斷為肺動靜脈畸型。此病患接受由心導管所施行的腺圈栓塞術(coil embolization)後,呼吸喘的症狀大大改善。我們在此討論肺動靜脈畸型在高雪氏症病患中發生的可能基轉。 |
英文摘要 | Pulmonary involvement is rare in type I Gaucher's disease (GD). Herein, we report a 34-year-old woman who developed pulmonary arteriovenous malformation (AVM) ten years after Gaucher's disease had been diagnosed. Spleonomegaly, bone pain, and bruising easily were present in her childhood. Dyspnea developed 10 years after diagnosis of Gaucher's disease. The chest radiograph revealed a tortuous tubular structure in the right lower lung, then echocardiography with a bubble test and cardiac catheterization confirmed the diagnosis. She underwent coil embolization by cardiac catheterization, and her dyspnea improved. Possible mechanisms of intrapulmonary AVM in Gaucher's disease are discussed. |
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