- 期刊
Malignant Lymphoma in Pregnancy Presenting with Severe Dyspnea- A Case Report
以嚴重呼吸困難表現的懷孕合併惡性淋巴瘤－病例報告
摘要
懷孕特別是後期會有呼吸困難現象，但如果症狀過於嚴重異於尋常，則可能是併發其他嚴重合併症，如氣喘重積狀態、異物或腫瘤阻塞、肺栓塞、感染、心臟功能異常等。我們報告一個罕見病例，26歲初產婦於懷孕34週併發惡性林巴瘤以嚴重呼吸困難及端坐呼吸為表現。剛開始的檢查包括胸部X光及超音波檢查。病人於住院第三天接受剖腹生產及頸淋巴結生檢並於當日開始接受化學治療。我們在此強調懷孕合併不明原因氣喘時鑑別診斷的重要性。我們也顯示胸腔超音波檢查在病人情況不佳時的實用性與靈活性。
並列摘要
While dyspnea is commonly observed during pregnancy, the presence of a disproportionately severe symptom may imply a serious complication, such as status asthmaticus, foreign body impaction, tumor obstruction, pulmonary embolism, infection, or heart dysfunction. We report a rare case of a 26-year-old primigravida at 34 weeks' gestation complicated with malignant lymphoma presenting as severe dyspnea and orthopnea. The initial investigation included chest X-ray and chest ultrasound. The management was a cesarean section followed by chemotherapy. We stress the importance of a differential diagnosis with any unexplained dyspnea in pregnancy. We also show the usefulness and versatility of chest ultrasound when dealing with unfavorable patient conditions.
延伸閱讀
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