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題 名 | Hereditary Hemorrhagic Telangiectasia with Pulmonary and Pleural Arteriovenous Malformation Diagnosed by Doppler Ultrasonography: Case Report and Literature Review=使用都卜勒超音波診斷遺傳出血性毛細血管擴張症合併肝肺及肋膜動靜脈畸型:一病例報告及文獻回顧 |
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作 者 | 林楨智; 夏德椿; 鄒吉生; 何瑞凱; 白培英; 徐秀寶; 周湘臺; | 書刊名 | 中國醫藥雜誌 |
卷 期 | 2:4 1997.12[民86.12] |
頁 次 | 頁232-237 |
分類號 | 415.38 |
關鍵詞 | 遺傳出血性毛細血管擴張症; 動靜脈畸型; 都卜勒超音波; Hereditary hemorrhagic telangiectasia; Arteriovenous malformation; Doppler ultrasonography; |
語 文 | 英文(English) |
中文摘要 | 遺傳出血性毛細管擴張正式以黏膜毛細管血管擴張及臟器動靜脈畸型為表徵之罕見疾病。對於腦部,肺及肝臟的動靜脈畸型之影像學檢查,可應用電腦斷層、核磁共振攝影,血管攝影及都卜勒超音波。我們報告一例男性遺傳出血性毛細管擴張患者合併肺、肝臟及肋膜動靜脈畸型。對於肋膜動靜脈畸型,血管攝影、電腦斷層、核磁共振攝影頗難加以診斷。都卜勒超音波是現今為一有效的診斷方法。遺傳出血性毛細管擴張症若併有臟器侵犯常引起病人罹病甚或死亡。因此我們報告此病例並進一步討論該疾病的特別表現及治療。 |
英文摘要 | Hereditary hernorrhagic telangiectasia (HHT) is a rare disease with typical manifestations of mucosal telangiectasia and visceral arteriovenous malformations (AVMs). The imaging techniques which useful in the diagnosis of cerebral, pulmonary and hepatic AVMs include computed tomography, magnetic resonance imaging, angiography, and Doppler ultrasonography. The paper reports on the case of a 63-year-old patient in whom HHT with associated pulmonary, hepatic and pleural AVMs was diagnosed. The Doppler ultrasonography may be the only useful tool for evaluation of pleural AVMs that are difficult to diagnose by angiography, computed tomography or MRI. Because HHT with internal organ involvement usually leads to morbidity or even mortality, this case is reported and discussed with special attention to the presentation and management of HHT. |
本系統中英文摘要資訊取自各篇刊載內容。