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在透视引导下成功手术切除肺内迷走针:病例报告

Successful surgical removal of an intrapulmonary aberrant needle under fluoroscopic guidance: report of a case.

作者信息

Miura H, Taira O, Hiraguri S, Hirata T, Kato H

机构信息

Department of Thoracic Surgery, Hachioji Medical Center of Tokyo Medical University, Hachioji, Japan.

出版信息

Surg Today. 2001;31(1):55-8. doi: 10.1007/s005950170221.

Abstract

We describe herein the successful surgical removal of an intrapulmonary aberrant needle. An asymptomatic 47-year-old woman underwent a routine chest X-ray which revealed a needle located in the right S8 area. We first tried to extract the needle; however, fluoroscopic examination confirmed that it had broken into two pieces and therefore, partial resection of the right S8 was performed. To avoid rethoracotomy, the operation was done under fluoroscopic guidance. An intrathoracic aberrant needle should always be removed surgically as soon as possible, even if the patient is asymptomatic, due to the possibility of its migration into the vessels and the development of lung abscess or pyothorax.

摘要

我们在此描述了成功手术取出一枚肺内异常针头的过程。一名47岁无症状女性接受常规胸部X线检查,结果显示一枚针头位于右肺S8区。我们首先尝试取出针头;然而,透视检查证实它已断成两段,因此,对右S8区进行了部分切除。为避免再次开胸,手术在透视引导下进行。由于胸内异常针头有可能迁移至血管内并引发肺脓肿或脓胸,即便患者无症状,也应尽快通过手术将其取出。

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