 Wysłany: Pią 4:13, 04 Mar 2011 Temat postu: tory burch outlet yfq dzf oib grm |
|
| Mistaken for central lung cancer 1 case of pulmonary schistosomiasis
Pressure of 35 adults under the age of occurrence of symptoms of high blood pressure hypertension should consider the possibility of ..., and the first time in 30 years took place on the adult epilepsy should be excluded intracranial tumors and cerebrovascular disease. Therefore, as follows: ① symptomatic epilepsy: intracranial post-traumatic epilepsy and minimal change into r steps to be excluded. ② hypertension, high blood pressure Nie disease: symptomatic renal hypertension is the most common form of hypertension, and the urine protein (++), support this diagnosis, but the patients have no clear history of hypertension, need for further examination: ③ normal. Chest CT: right lower lobe basal segment see substantial solitary nodule, the size of 3craX2cm × 28cm, less structured edges. No leaf, the see vacuole sign. Adhesion compared with the mediastinal pleura and right basal stem bronchi see lymph nodes, localized bronchial stenosis, no abnormal signs over diagnosis of lung field: right lower lobe basal segment of central lung cancer (T3NlM 『,)] 1Ia of a bronchial Mirror Yu Cha: right lower lobe basal examination, the narrow section of open IsI, mucosal hypertrophy, to see clearly the new biology, a new blood flow, mining the leaves of Yin bronchi were normal. Fibers and lens brush biopsy of malignant cells was not found: Clinical diagnosis: lung central lung cancer: on December 6, 2000 under general anesthesia thoracotomy exploration Lian intraoperative see no pleural effusion and right lung F was significantly higher than the surrounding tissue congestion, can be touched lcm quality hard nodules, nodules cut open, tend to drive the naked eye view of the organization,tory burch outlet, part of the depression in pleura: a few pieces reach the hilar lymph nodes 1 ~ 3cm. Ip crack developed normally, isolated and cut off the right lower lobe bronchus, resection of lung disease, bronchial torn sewing table, clear the lymph nodes: Pathology orange odd results: changes in lung tissue showed chronic congestion of alveolar wall structure exist, alveolar World Bank swallow large red blood cells can be seen the ancient haemosiderin accumulation of macrophages, some of bronchial lung cavity is also full of red blood cells and intravascular thrombosis no blockage, interstitial lung deposition of schistosome eggs can be seen, and some have calcification, hilar lymph node fibrosis, Church of transparency. Diagnosis: right lung lower lobe hemorrhage with deposition of schistosome eggs. Uneventful recovery, discharged. Schistosomiasis is a discussion of human schistosome parasites on the venous system caused by parasitic disease ..., when it when ectopic lung tissue caused by parasites in the lung schistosomiasis. The egg,adidas scarpe, schistosomula or adult blood vessels in the pulmonary migration, and development. The surrounding inflammatory tissue infiltration, interstitial hemorrhage, caused by severe eosinophilic abscess and leave TB change, resulting in lung, bronchial and pleural damage 0j, exhibit cough, sputum, hemoptysis, chest pain or asthma and other respiratory symptoms, with low heat or no heat, can have both lungs and a small amount of dry warm tone pleural effusion. Imaging the two markings usually presents early increase followed had scattered flakes of points,tory burch, like miliary infiltration shadows, edges blurred. More common in the lower lung, but also big flake, nodular shadows, accompanied by pleural changes,belstaff españa, such as costophrenic angle blurred, pleural thickening. Fiberoptic examination revealed acute phase line congestion and edema of bronchial mucosa, chronic ulcers of the,uggs outlet rotterdam, miliary nodules, bronchial stenosis, such as performance, easily misdiagnosed as end edges, pneumonia, lung cancer and other diseases. If the line or bronchial lavage film revolves see schistosome eggs live check can be confirmed. The patients with cough, hemoptysis onset, chest Cr examinations showed soft tissue shadow lung, bronchoscopy under the right lower lobe basal segment, see the narrow opening. It was misdiagnosed as lung cancer, after lung diagnosed by the pathology of schistosomiasis, including lessons to be learned from the 60 = Because of the basic elimination of schistosomiasis in the early years, pulmonary schistosomiasis is rare, and the clinical manifestations vary, often ignored by medical staff duties. Therefore, the susceptible group for schistosomiasis. In particular, there is a clear history of exposure to contaminated water, pulmonary tissue damage and (or) chest wall lesions. Ectopic schistosomiasis take into account the damage to the lung may be, a comprehensive examination as soon as possible to the tumor, node edge differentiated from other diseases. And there is a large number of eggs reported calm in recurring bronchial pulmonary schistosomiasis film revolves easily lead to lung cancer 5. Therefore, pulmonary schistosomiasis should be vigilant, in time, early effective treatment. |
|
