| 肺淋巴管肌瘤病一例临床报告及文献复习 |
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| 引用本文： | 赵明栋,龚利琼,夏伟. 肺淋巴管肌瘤病一例临床报告及文献复习[J]. 中华肺部疾病杂志(电子版), 2010, 3(2): 27-29. DOI: 10.3877/cma.j.issn.1674-6902.2010.02.008 |
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| 作者姓名： | 赵明栋 龚利琼 夏伟 |
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| 作者单位： | 湖北省宜昌市第二人民医院呼吸内科,湖北,443000 |
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| 摘 要： | 目的提高对肺淋巴管平滑肌瘤病(pulmonary lymphangidei omyomatosis,PLAM)诊断和难治性气胸的认识。方法报道确诊为PLAM的新病例1例,结合国内报道的PLAM病例,对该病的临床特点进行汇总分析。结果肺淋巴管肌瘤病易并发难治性气胸,50%以此为首发症状,80%在疾病过程中发生气胸。气胸常常表现为复发性,双测性。结论胸部高分辨CT对PLAM具诊断价值。对育龄妇女发生的渐进性呼吸困难、咯血、自发性气胸应及时进行胸部高分辨CT检查。并应常规进行腹部和盆腔影像学检查以了解患者是否合并肺外淋巴管平滑肌瘤。
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| 关 键 词： | 肺疾病 淋巴管肌瘤 诊断 气胸 |
One patient with pulmonary lymphangiolei omyomatosis reported and literature review |
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| ZHAO ming-dong,GONG Li-qiong,XIA Wei. One patient with pulmonary lymphangiolei omyomatosis reported and literature review[J]. Chinese Journal of lung Disease（Electronic Edition）, 2010, 3(2): 27-29. DOI: 10.3877/cma.j.issn.1674-6902.2010.02.008 |
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| Authors: | ZHAO ming-dong GONG Li-qiong XIA Wei |
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| Affiliation: | ZHAO ming-dong,GONG Li-qiong,XIA Wei(Department of Respiratory,The Second People Hospital,Yichang,Hubei,443000) |
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| Abstract: | Objective To improve the diagnosis and treatment of refractory pneumothorax caused by pulmonary lymphangiolei omyomatosis(PLAM).Methods One patient with PLAM confirmed by diagnosis was presented and relevant PLAM cases reported in China were combined to gather and analysis the clinical characteristics of PLAM.Results PLAM cause easily refractory pneumothorax,50% happened at the beginning and 80% generated in the disease course.Pneumothorax always represented as bilatercl and recidivity.Conclusions Chest Hig... |
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| Keywords: | Pulmonary disease Pulmonary lymphangioleiomyomatosis Diagnosis Refractory pneumothorax |
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