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相關文獻
- Coexistence of Pulmonary and Cerebral Arteriovenous Malformations in a Male Adult
- 肺動靜脈畸形
- Pulmonary Arteriovenous Malformations Mimicking Solitary Pulmonary Nodule with No Symptoms: A Case Report
- Pulmonary Arteriovenous Malformation:Analysis of 10 Cases
- Diffuse Type Pulmonary Arteriovenous Malformations: Report of One Case
- Diffuse Type Pulmonary Arteriovenous Malformations Demonstrated by Lung Perfusion Scans: Two Case Reports
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- 肺部動靜脈畸形
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頁籤選單縮合
題名 | Coexistence of Pulmonary and Cerebral Arteriovenous Malformations in a Male Adult=一成年男子同時發現肺部及腦部動靜脈畸形--一病例報告及文獻回顧 |
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作 者 | 趙恒勝; 張西川; | 書刊名 | 胸腔醫學 |
卷期 | 19:5 2004.10[民93.10] |
頁次 | 頁368-372 |
分類號 | 416.26 |
關鍵詞 | 動靜脈畸形; 肺動靜脈畸形; 遺傳性出血性毛細血管擴張症; Arteriovenous malformations; Pulmonary arteriovenous malformations; Hereditary hemorrhagic telangiectasia; |
語文 | 英文(English) |
中文摘要 | 同時出現肺部及腦部的動靜脈畸形是很少見的,即使在遺傳性出血性毛細血管擴張症的病人身上也十分旱見。不熟悉這個疾病常會將之歸因為其他病因。在此報告一位成年男性病患,同時存在著肺部及腦部的動靜脈畸形。一開始,他只有神經學方面的症狀,他接受了開顱手術切除腦部的動靜脈畸形。手術後,症狀仍無改善。一年後才發現肺部有一結節。胸腔超音波及核磁共振檢查診斷為肺動靜脈畸形。開胸手術切除了肺部病灶,病理檢查証實了肺動靜脈畸形的診斷。由此病例,我們建議對於任何臟器的動靜脈畸形患者,應該進一步的篩檢是否伴隨有肺部的動靜脈畸形。 |
英文摘要 | The coexistence of cerebral and pulmonary arterivenous malformations (AVMs) is very rare, even in patients with hereditary hemorrhagic telangiectasia (HHT). Through a lack of awareness of this condition and inattentive screening, physicians may miss pulmonary AVMs or treat them as other conditions. We report herein a case of concurrent solitary pulmonary AVM and cerebral AVM in a male adult. The patient first presented with neurological symptoms and was subjected to a craniotomy and resection of the cerebral AVM. Neurological symptoms showed no improvement after removal of the cerebral AVM. A pulmonary nodule was found about one year after brain surgery. Pulmonary AVM was diagnosed by chest sonography with Doppler and magnetic resonance angiography (MRA) of thorax, and was confirmed by surgical resection. This case illustrates the importance of screening for the presence of pulmonary AVMs in patients with visceral vascular malformations or HHT. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。