中国当代儿科杂志2017，Vol.19Issue(10)：1109-1113,5.DOI:10.7499/j.issn.1008-8830.2017.10.015
弥漫性肺泡出血4例
Diffuse alveolar hemorrhage in 4 girls
代佳佳 1陈强 2王立波1
作者信息
- 1. 复旦大学附属儿科医院呼吸科,上海 201102
- 2. 江西省儿童医院呼吸科,江西 南昌 330006
- 折叠
摘要
Abstract
This article reports 4 girls with clinical manifestations of recurrent cough and anemia. The age of onset was less than 4 years, and three of them had shortness of breath. None of them had acute hemoptysis. All the girls had positive results of hemosiderin test for bronchoalveolar lavage fluid. As for imaging examination, 3 patients had ground-glass opacity, and 1 had interstitial change. Three girls were given the treatment for idiopathic pulmonary hemosiderosis and had no response. Selective bronchial arteriography was performed for the 4 girls and found bronchial artery to pulmonary circulation shunt (BPS). After they were diagnosed with BPS, they were given transcatheter embolization. The girls were followed up for half a year after surgery, and none of them was readmitted due to "cough and anemia". BPS manifests as abnormal shunt between the bronchial artery and the pulmonary artery/vein and has unknown causes. It is rare in children and should be considered for children who were thought to have idiopathic pulmonary hemosiderosis and had poor response to corticosteroid therapy.关键词
弥漫性肺泡出血/支气管动脉-肺循环瘘/选择性支气管动脉造影术/儿童Key words
Diffuse alveolar hemorrhage/Bronchial artery to pulmonary circulation shunt/Selective bronchial arteriography/Child引用本文复制引用
代佳佳,陈强,王立波..弥漫性肺泡出血4例[J].中国当代儿科杂志,2017,19(10):1109-1113,5.
