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Mitral stenosis due to rheumatic heart disease - A rare cause of massive hemoptysis

机译:风湿性心脏病引起的二尖瓣狭窄-大量咯血的罕见原因

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摘要

Severe mitral valve stenosis caused by rheumatic heart disease presenting initially as massive hemoptysis has become a rare occurrence in contemporary western medicine. Massive hemoptysis can be due to multiple disease processes including airway diseases such as bronchiectasis, pulmonary parenchymal disease of infectious or autoimmune etiology, pulmonary AVM's, hematologic disorders, and numerous drugs and iatrogenic injuries. It is less associated with congestion from rheumatic heart disease due to the earlier detection and subsequent management of cardiac valve disease preventing the sequela of more severe disease.We describe a case of a 59 year-old woman with hemoptysis, who was found to have severe mitral stenosis consistent with rheumatic heart disease. We demonstrate the appearance of pulmonary venous congestion can be seen on bronchoscopic examination in severe mitral stenosis and discuss the significance of the Wilkins score to help guide management.
机译:风湿性心脏病引起的严重二尖瓣狭窄最初以大量咯血的形式出现,在当代西医中已很少见。大量咯血可能是由于多种疾病过程引起的,包括气道疾病,如支气管扩张,传染性或自身免疫性病因的肺实质疾病,肺AVM,血液系统疾病以及许多药物和医源性伤害。由于较早发现并随后进行了心脏瓣膜疾病的治疗,从而预防了更严重疾病的后遗症,因此它与风湿性心脏病的充血相关性较小。我们描述了一名59岁咯血妇女的病例,该妇女被发现患有严重咯血二尖瓣狭窄与风湿性心脏病一致。我们证明在严重的二尖瓣狭窄中通过支气管镜检查可以看到肺静脉充血的现象,并讨论了威尔金斯评分的意义,以帮助指导治疗。

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