摘要
肺静脉狭窄(PVS)的特征是一个或多个肺静脉管腔狭窄,导致呼吸困难、咳嗽和咯血等进行性症状。随着射频消融术作为治疗心房颤动的一种手段的出现和普及率的增加,已经导致医源性原因成为成人肺静脉狭窄的主要病因。由于肺静脉狭窄没有特定的临床表现、症状常出现较晚,以及消融后缺乏常规监测成像,使其成为一个具有挑战性的临床诊断。本文报道1例患者因胸闷、气短,咳嗽、咳痰带血等非特异性症状多次就诊于呼吸科,导致诊治时间延长。希望通过对该患者的讨论,能够提高临床医生对射频消融术后肺静脉狭窄疾病的认识。
Pulmonary vein stenosis(PVS)is characterized by the stenosis of one or more pulmonary veins leading to progressive dyspnea,cough,and hemoptysis.Currently,iatrogenic PVS is the most common type of PVS in adults,mainly due to the increased popularity of radiofrequency ablation for the treatment of atrial fibrillation.Due to the lack of specific clinical manifestations in the early stages and the absence of routine imaging surveillance after radiofrequency ablation,the diagnosis of PVS is challenging in clinical practice.This paper reports a case of a patient with PVS who had several visits to the respiratory department for non-specific symptoms such as chest tightness,shortness of breath,cough,and hemoptysis,leading to delayed diagnosis and treatment.We hope that the discussion of this case would improve the clinicians′awareness of PVS following radiofrequency ablation.
作者
李阳
王荣
王波
潘殿柱
Li Yang;Wang Rong;Wang Bo;Pan Dianzhu(Department of Respiratory,the First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,China)
出处
《中华结核和呼吸杂志》
北大核心
2025年第6期560-562,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
作者简介
通信作者:潘殿柱,Email:Pandianzhu@163.com。
