心房颤动导管消融术后并发肺静脉狭窄2例
Zhejiang Medical Journal(2019)
Abstract
环肺静脉电隔离术已经成为当今治疗心房颤动的主要方法,肺静脉狭窄(pulmonary venous stenosis,PVS)是心房颤动患者导管消融术后严重并发症之一,极易引起误诊、漏诊.现将我科收治的2例心房颤动导管消融术后PVS患者的临床资料报道如下.
例1 患者,男性,31岁.因“反复咳嗽、咳痰3个月,再发伴咯血3d”于2018年9月1日入院.患者3个月前曾行心房颤动导管消融术,术后1周出现发热、咳嗽,当时胸部CT提示左肺下叶炎症,左侧胸腔少量积液,予抗感染治疗后体温好转,但咳嗽反复.3d前患者咳嗽较前加重,出现少量痰中带血,胸部CT提示左肺炎症伴左侧胸腔积液.入院体检无明显阳性体征.
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