临床误诊误治2017，Vol.30Issue(12)：6-8,3.DOI:10.3969/j.issn.1002-3429.2017.12.003
肺隔离症一例误诊分析
Misdiagnosis Analysis of One Patient with Pulmonary Sequestration
仰柯 1魏彩虹 1郭丹 1崔永慧 1薄茂盛 2周俊2
作者信息
- 1. 730060 兰州,兰州石化总医院呼吸内科
- 2. 730060 兰州,兰州石化总医院双源CT室
- 折叠
摘要
Abstract
Objective To discuss clinical characteristics and misdiagnosed causes of pulmonary sequestration ( PS) . Methods Clinical data of 1 patient with PS, who was misdiagnosed as having other diseases, was retrospectively analyzed. Results The patient was admitted for repeated cough, expectoration and haemoptysis for 10 years and recurrence for 3 d, The patient was misdiagnosed as having bronchiectasis, tuberculosis and lung cancer in other hospitals, but the patient's symptoms did not obviously improved after related treatments. Right lower lung epimere PS ( abnormal feeding artery from superior seg-ment of abdominal aorta) was diagnosed after treatments such as laboratory and CT contrast enhanced scan, multi-level picture reconstruction ( MPR) , maximum intensity projection ( MIP) and volume reappearance restructuring ( VR) . The patient was treated with anti-infection, eliminate sputum and hemostasis, and the patient was discharged after hemoptysis was stopped. With follow-up for one year, no symptoms such as cough or expectoration were found. Conclusion When patients have re-peated cough, expectoration and hemoptysis with incurability, clinicians have taken into account the PS, and give relevant medical examinations in time in order to confirm the diagnosis as early as possible to avoid misdiagnosis and mistheapy and im-prove prognosis.关键词
肺隔离症/误诊/支气管扩张症/结核,肺Key words
Pulmonary sequestration/Misdiagnosis/Bronchiectasis/Tuberculosis/pulmonary分类
医药卫生引用本文复制引用
仰柯,魏彩虹,郭丹,崔永慧,薄茂盛,周俊..肺隔离症一例误诊分析[J].临床误诊误治,2017,30(12):6-8,3.
