成功救治一例巨大肺动静脉畸形导致脑脓肿及矛盾性栓塞临床报道  

Successful management of brain abscess and paradoxical embolization caused by huge pulmonary arteriovenous malformation:a case report

作　　者：牛芳 徐洪英 张春灵 黄菊 Niu Fang;Xu Hongying;Zhang Chunling;Huang Ju(Department of Critical Care Medicine,the Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院附属医院重症医学科,济宁272029

出　　处：《中国医师杂志》2022年第10期1537-1540,共4页Journal of Chinese Physician

摘　　要：目的通过病例资料回顾及文献复习,提高对肺动静脉畸形(PAVM)及其相关并发症的认识。方法报道1例以脑脓肿发病、治疗过程中出现肝、脾、肾多脏器矛盾性栓塞的PAVM病例,总结其临床特征,分析其病理生理特点及诊断治疗过程中的要点,并复习相关文献。结果脑脓肿及矛盾性栓塞是PAVM最常见并发症。该患者诊断过程及时、明确,通过经皮穿刺介入栓塞治疗PAVM,取得良好效果。结论PAVM易引起脑脓肿及多脏器栓塞,临床上需要提高警惕,避免漏诊误诊。Objective The purpose of this case report is to improve the understanding of pulmonary arteriovenous malformation(PAVM)and its related complications by reviewing case data and literature.Methods A case of huge PAVM complicated with brain abscess and paradoxical embolization of liver,spleen and kidney is reported,and then we summarize its clinical characteristics,diagnosis and treatment,and review the relevant references.Results Brain abscess and paradoxical embolization are the most common complications of PAVM.The diagnosis and process of this patient was timely and clear.The patient received interventional embolization for PAVM and achieved good results.Conclusions PAVM can cause brain abscess and paradoxical embolization.We should be vigilant to avoid missed diagnosis and misdiagnosis.

关 键 词：脑脓肿 肺动静脉畸形 脾梗死 肝梗死 肾梗死 

分 类 号：R65[医药卫生—外科学]