弥漫性新生儿血管瘤病伴心衰1例并文献回顾  

Congestive Heart Failure with Diffuse Neonatal Hemangiomatosis A Case Report and Literature Review

作　　者：卫风蕾[1] 程宪[2] 王恒娟[1] 牛红喜[1] 

机构地区：[1]大连市儿童医院皮肤科,辽宁大连116012 [2]大连市儿童医院新生儿科,辽宁大连116012

出　　处：《中国皮肤性病学杂志》2014年第1期62-64,共3页The Chinese Journal of Dermatovenereology

摘　　要：患儿女,14d。患儿周身发现针头大红色斑疹11d,逐渐增多增大。皮肤科情况:患儿颜面部、胸部、背部、臀部、四肢、双手、足可见数十个针头至绿豆大鲜红色斑丘疹,质地柔软,界限清楚。右耳处可见一3cm×4cm大鲜红色斑。肝脏B超可见不规则低回声区,肝脏增强CT示多发性大小不等边界欠清低密度灶。肝脏血管重建提示存在动静脉短路。诊断:弥漫性新生儿血管瘤病。入院后给予强的松,血管瘤进行性增多、增大,并出现充血性心力衰竭,故给予甲强龙、美托洛尔联合抗心衰治疗,患儿病情逐渐好转、稳定。心衰稳定后将美托洛尔换用普萘洛尔治疗。A 14-day-old girl presented with multiple cutaneous hemangiomas for 11 days. Medical examination showed dozens of soft, well-defined red papules sized pinpoint to green bean distributed from the head to the feet. There was a red spot sized 3cm × 4cm on the right ear. Liver ultrasound scans, enhanced CT and liver vascular remodeling revealed multiple liver hemangiomas and arterio-venous malformation （ AVM ）. The diagnosis was diffuse neonatal angiomatosis. Supportive treatment for congestive heart failure combined with methyl- prednisolonc and betaloc therapy resulted in good clinical response. Propranolol was given to treat the heman- giomas after condition stabilized.

关 键 词：心衰 血管瘤病 甲强龙 美托洛尔 普萘洛尔 

分 类 号：R739.5[医药卫生—肿瘤]