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针对韦格纳肉芽肿继发的支气管内阻塞的放射治疗和机械扩张术。

Radiation therapy and mechanical dilation of endobronchial obstruction secondary to Wegener's granulomatosis.

作者信息

Eagleton L E, Rosher R B, Hawe A, Bilinsky R T

出版信息

Chest. 1979 Nov;76(5):609-10. doi: 10.1378/chest.76.5.609.

DOI:10.1378/chest.76.5.609
PMID:115639
Abstract

A patient with Wegener's granulomatosis, which was otherwise well controlled with steroids and cyclophosphamide, had persistent total obstruction of an inflamed left mainstem bronchus. The inflammation resolved, and the lung expanded following radiation therapy. However, intermittent atelectasis and pneumonia occurred distal to a residual short stricture. Repeated dilation endoscopically with Plummer bougies has proven effective in maintaining good ventilation and preventing recurrence of the atelectasis and pneumonia in the left lung for 18 months.

摘要

一名患有韦格纳肉芽肿病的患者,原本通过类固醇和环磷酰胺得到了良好控制,但左侧主支气管发炎导致持续完全阻塞。放疗后炎症消退,肺部复张。然而,在残留的短段狭窄远端出现了间歇性肺不张和肺炎。用普卢默探条反复进行内镜扩张已被证明可有效维持良好通气,并在18个月内预防左肺肺不张和肺炎复发。

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