以咯血为主要表现的肺隔离症1例文献分析  

Analysis of a case of pulmonary sequestration presenting as hemoptysis

作　　者：张帅[1] 王宁[1] 刘颖[1] 刘一[1] 樊再雯[2] 

机构地区：[1]空军总医院呼吸内科,北京100142 [2]空军总医院肿瘤内科,北京100142

出　　处：《空军医学杂志》2015年第2期102-104,共3页Medical Journal of Air Force

基　　金：国家自然科学基金(81170045)

摘　　要：目的分析以咯血为主要表现的肺隔离症,以提高对肺隔离症的认识。方法分析1例以咯血为主要表现的肺隔离症的临床表现、实验室检查结果、影像学资料,并对肺隔离症进行文献复习。结果患者女,51岁,主因间断咳嗽、咯血入院,入院查螺旋CT增强扫描三维重建示异常供血动脉来源于胸主动脉。诊断肺隔离症,建议患者行手术治疗,患者拒绝,经莫西沙星抗感染。云南白药止血等治疗未再咯血并出院。结论肺隔离症是一种少见疾病,临床易于忽视,诊断有赖于螺旋CT增强扫描三维血管重建。手术是本病最佳治疗方法。Objective To increase awareness of pulmonary sequestration through analysis on cases with hemoptysis as mai n man ifest at ion. Methods T he clinical s mptoms, laborator y tests, radiog raph ic pat ter ns of a pat ient with pulmonary sequestration presenting as hemoptysis were analyzed and the literatures were reviewed. Results A 51-yearold female was admitted to our hospital with of cough and hemoptysis. 3D reconstruction with enhanced spiral CT showed arterial supply to this lesion was from the thoracic aorta. Pulmonar y sequestration was the diagnosis, and surger y was suggested to the patient. Because the patient refused surgical treatment, moxif loxacin and Yunnan Baiyao were given for anti- infection and hemostasis, and the patient was discharged till the hemoptysis stopped. Conclusion Pulmonary sequestration is a rare disorder and easily overlooked in clinical practice. The diagnosis of pulmonar y sequestration is dependent on 3D reconstruction with enhanced spiral CT. Surgery is the best treatment for this disease.

关 键 词：肺隔离症 诊断 治疗 

分 类 号：R563[医药卫生—呼吸系统]