Catecholamine-Induced Cardiomyopathy in Multiple Endocrine Neoplasia

Catecholamine-Induced Cardiomyopathy in Multiple Endocrine Neoplasia
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多发性内分泌肿瘤中儿茶酚胺诱发的心肌病

DOI:
10.1378/chest.100.6.1744-b
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发表时间:
2006
影响因子:
18.2
通讯作者:
A. Frustaci
A. Frustaci
中科院分区:
医学1区
文献类型:
--
作者:
A. Frustaci

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第1744章 给编辑ble的通讯;然而,BAL 液中却生长了堪萨斯分枝杆菌。该患者开始接受三联抗结核药物治疗。后续胸部 X 线照片显示,在 BAL 手术后四个月内,气液水平一直下降但持续存在。结节病常常与与气道连通的大纤维囊性空间有关。因此,令人惊讶的是,BAL 尚未被报道与这些囊性空间中气液平面的发展有关。其原因尚不完全清楚。在该患者中,影响因素可能包括囊性空间异常大的尺寸和重力依赖性位置、大量灌洗液的滴注以及叠加的堪萨斯分枝杆菌感染的存在。我们建议对肺部附属部分有较大纤维囊性空间的患者进行 BAL 时要小心。
1744 Communications to the Editor ble; however, the BAL fluid grew Mycobacterium kansasii. The patient was started on a triple antituherculotis drug regimen. Follow-up chest radiographs showed a decreasing but persistent airfluid level up to four months after the BAL procedure. Sarcidosis is frequently associated with large fibrocystic spaces that cmmunicate with the airways. It is surprising, therefore, that BAL has not been reported to he associated with the development of an air-fluid level in these cystic spaces. The reasons for this are not entirely clear. In this patient, contributing factors may include the unusually large size and gravity-dependent location of the cystic space, the instillation of large volumes of lavage fluid, and the presence of superimposed M kansasii infection. We would like to advise caution when performing BAL in patients vith large fibrocystic spaces in the dependent segments of the lungs.