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題 名 | Pulmonary Arteriovenous Malformations Mimicking Solitary Pulmonary Nodule with No Symptoms: A Case Report=肺動靜脈畸形仿似孤立性肺結節,CT引導下細針穿刺切片可能引起致命的併發症:一病例報告 |
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作 者 | 丘偉鴻; 馮瑤; 林靖南; 謝俊民; | 書刊名 | 胸腔醫學 |
卷 期 | 27:2 2012.04[民101.04] |
頁 次 | 頁88-93 |
分類號 | 415.46 |
關鍵詞 | 肺動靜脈畸形; 孤立性肺結節; CT引導下細針穿刺切片; 影像輔助胸腔鏡楔形切除術; 遺傳性出血性毛細血管擴張症; Pulmonary arteriovenous malformations; Solitary pulmonary nodule; CT-guided fine-needle biopsy; Video-assisted thoracoscopic wedge resection; Hereditary hemorrhagic telangectasia; |
語 文 | 英文(English) |
中文摘要 | 肺動靜脈畸形(PAVMs)為一由異常肺動脈和肺靜脈的交通,造成肺血分流。這導致血液流經此異常吻合,不經過肺泡毛細血管行氣體交換。肺動靜脈畸形多位於兩側下肺葉,數量上可以是單個或多個。大部分的病人都會有相關症狀來呈現肺動靜脈畸形或遺傳性出血性毛細血管擴張症。我們報告一位病人,沒有症狀,因為胸部X光異常來求診,其X光以孤立性肺結節(SPN)呈現,最終使用影像輔助胸腔鏡楔形切除術診斷出肺動靜脈畸形。在這種情況下,我們了解到,SPN可以是PAVMs,在未充分取得影像學診斷下,貿然以電腦斷層導引下細針穿刺切片,可能會帶來致命性的併發症。 |
英文摘要 | Pulmonary arteriovenous malformations (PAVMs) consist of abnormal communications between pulmonary arteries and veins that cause pulmonary blood flow diversion. This splits the blood flow through the abnormal anastomosis, not through the alveolar capillaries, leading to gas exchange. PAVMs are mostly located at both sides of the lower lobes, and range from single to multiple occurrences. Most patients have symptoms indicative of PAVMs, or underlying hereditary hemorrhagic telangectasia (HHT). We reported a patient with an abnormal CXR showing a solitary pulmonary nodule (SPN) with no symptoms that was diagnosed as PAVM using video-assisted thoracoscopic (VATS) surgical wedge resection. In this case, we learned that a SPN could be a PAVM, and prior to the advent of good imaging studies, CT-guided fine-needle biopsy for pulmonary lesions was not totally safe and could cause lethal complications. |
本系統中英文摘要資訊取自各篇刊載內容。