Outomuro Pérez J M, Serena Puig A, Campos Villarino L, Carreira Delgado M
Servicio de Medicina Nuclear, Hospital Meixoeiro, Vigo (Pontevedra).
Rev Esp Med Nucl. 2000 Jun;19(3):215-8.
Bronchopleural fistula (BPF) is a rare but extremely serious complication of lung resection surgery. Its diagnosis is often overlooked in the clinical evolution of the patients undergoing surgery due to the subacute presentation of the picture. The procedures used to detect it are either invasive or have low accuracy. We report the case of a patient with lung carcinoma treated by left pneumonectomy in whom BPF was suspected after an episode of coughing and expectoration. The conventional chest x-ray did not show any significant findings while the (99m)Tc-DTPA ventilation lung scintigraphy demonstrated bronchopleural communication in a very early phase.
支气管胸膜瘘（BPF）是肺切除手术中一种罕见但极其严重的并发症。由于其临床表现呈亚急性，在接受手术患者的临床病程中，其诊断常常被忽视。用于检测它的方法要么具有侵入性，要么准确性较低。我们报告一例肺癌患者，该患者接受了左肺切除术，在一次咳嗽和咳痰发作后怀疑发生了支气管胸膜瘘。常规胸部X线检查未显示任何显著异常，而（99m）Tc - DTPA通气肺闪烁扫描在极早期就显示了支气管胸膜相通。
