肺错构瘤致大咯血1例并相关文献复习  

Pulmonary hamartoma caused 1 case of hemoptysis and review of literature

作　　者：崔景华[1] 李静[1] 罗泽如[1] Cui Jinghua Li Jing Luo Zeru(Department of Respiratory Medicine, Guandong Institute of Geriatrics, Guangdong General Hospital, Guangdong Acadermy of Medical Science, Guangzhou 510080, China)

机构地区：[1]广东省人民医院广东省医学科学院广东省老年医学研究所呼吸科,广州510080

出　　处：《国际呼吸杂志》2016年第24期1878-1881,共4页International Journal of Respiration

摘　　要：目的：肺错构瘤是临床少见疾病，但是导致大咯血的病因之一，本研究旨在提高临床医生对于少见咯血原因的认知。方法对我院近期1例大咯血病例，经手术病理明确诊断为肺错构瘤的病例进行分析，并对其他相关病例进行归纳，分析及文献复习。结果肺错构瘤可引起咯血，甚至大咯血，临床医师容易忽略，依靠病史及影像学检查分析作出初步诊断比较困难，除非有典型影像学改变，手术切除是确诊及治疗的最有效方法。结论咯血是呼吸科最常见的临床症状，也是呼吸科急症，某些少见病因容易忽略或者误诊。肺错构瘤就是其中之一。Objective Pulmonary hamartoma is a rare clinical disease,but it′s one of the cause of massive hemoptysis.The study is to improve the clinician for rare causes of hemoptysis of cognition. Methods We analyzed 1 cases of massive hemoptysis cases,by surgery and pathology clearly diagnosed as pulmonary hamartoma in our hospital recently.Summarized,analyzed the other cases in this paper,and review of the literature.Results Pulmonary hamartoma could cause hemoptysis,even massive hemoptysis,clinicians were easy to overlook.Depending on the history and imaging examination to make a preliminary diagnosis were difficult,unless there was a typical image change,surgical resection was the most effective way of diagnosis and treatment.Conclusions Hemoptysis is the most common clinical symptoms in the Department of respiration.It is also an emergency in the Department of respiration.Some rare causes are easily overlooked or misdiagnosed.Pulmonary hamartoma is one of them.

关 键 词：大咯血 肺错构瘤 肺曲霉病 侵袭性 

分 类 号：R734.2[医药卫生—肿瘤]