成人左肺动脉吊带畸形伴气管狭窄1例报告

来源 :中华医学会呼吸病学年会——2013第十四次全国呼吸病学学术会议 | 被引量 : 0次 | 上传用户:wangshucai123
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患者,女,52岁,反复气促1个月.患者1个月前术后出现活动后气促,有时还可闻及喉部喘鸣音,休息数分钟后缓解,伴咳嗽、咳白粘痰,未予重视及诊治.此后症状逐渐加重,6天前就诊我院,胸部CT平扫示:双肺见散在少许斑片状、条索状密度增高影,可见全程气管狭窄,最小直径约为8mm,肺功能检查:FVC、FEV1和MMEF均下降,FEV1/FVC比值正常,提示限制性通气功能障碍伴小气道阻塞,PD20-PEV1 2.2mg下降23.8%,提示气道高反应性,即予"沙美特罗替卡松吸入剂(舒利迭)"50/250ug 1吸BID治疗,上述症状未缓解,拟"气促待查"收入院.
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