巨大肺动脉瘤伴重度肺动脉高压1例并文献复习  

Giant Pulmonary Aneurysm with Severe Pulmonary Hypertension:a Case Report and Literature Review

作　　者：周婷婷 万毅新[1] ZHOU Ting-ting;WAN Yi-xin(Second Hospital of Lanzhou University,Lanzhou 730000,Gansu,China)

机构地区：[1]兰州大学第二医院,甘肃兰州730000

出　　处：《医学信息》2018年第3期191-192,共2页Journal of Medical Information

摘　　要：肺动脉瘤伴肺动脉高压的典型特点为肺循环阻力增加、肺血增多,呼吸困难和心力衰竭为主要的临床症状,CTA结合三维图像重组技术能全面、直观地显示瘤体的部位,手术治疗是巨大肺动脉瘤伴重度肺动脉高压的主要治疗手段。本文主要报道2017年2月收治的1例巨大肺动脉瘤伴重度肺动脉高压患者诊治经过,该例患者肺动脉瘤瘤体巨大,合并肺动脉高压重度,以突发的胸闷、气短急诊就诊。入院予以强心、利尿、抗感染等基础治疗后行手术治疗,术后密切监护治疗,恢复满意。同时结合相关文献进行复习,旨在加强对肺动脉瘤伴肺动脉高压的临床、影像、病理特点的认识,提高对肺动脉瘤伴肺动脉高压的早期认识和治疗。Typical features of pulmonary aneurysm with pulmonary hypertension are increased pulmonary vascular resistance,increased pulmonary blood flow,dyspnea and heart failure as the main clinical symptoms.CTA combined with three-dimensional image reconstruction can comprehensively and directly show the tumor site.Surgical treatment is a major pulmonary aneurism with severe pulmonary hypertension treatment.This article mainly reports in February 2017 admitted to a case of huge pulmonary aneurysm with severe pulmonary hypertension diagnosis and treatment of patients,the patients with pulmonary aneurysm huge,severe pulmonary hypertension,with sudden chest tightness,shortness of breath emergency treatment.Admission to cardiac,diuretic,anti-infective and other basic treatment after surgery,close monitoring after treatment,recovery satisfaction.At the same time with the review of relevant literature,aimed at strengthening the pulmonary artery aneurysm with pulmonary hypertension,clinical,imaging,pathological features of awareness,improve pulmonary aneurysms with pulmonary hypertension early recognition and treatment.

关 键 词：肺动脉瘤 肺动脉高压 外科治疗 体层摄影术 

分 类 号：R543.2[医药卫生—心血管疾病]