Shundo Yasumasa, Inaba Hirohisa, Hirose Masahide, Ota Shinichiro, Yamakawa Hiro, Akiyama Jinichiro, Honda Atsuro
Department of Respiratory Surgery, Shizuoka General Hospital.
Nihon Kokyuki Gakkai Zasshi. 2002 Apr;40(4):307-10.
A 57-year-old man was admitted for pulmonary emphysema. Volume-reduction-surgery (VRS) was performed. Three days later, after he coughed hard, the right lung collapsed. Although surgery was repeated, the air leakage continued. Air leakage was immediately reduced by means of bronchial embolization with a spiral embolus. We suggest that bronchial embolization with a spiral embolus causes little harm and is an effective treatment for refractory pulmonary fistula in poor-risk patients.
一名57岁男性因肺气肿入院。接受了肺减容手术(VRS)。三天后,他剧烈咳嗽后右肺塌陷。尽管再次进行了手术,但漏气仍持续存在。通过使用螺旋栓塞剂进行支气管栓塞,漏气立即减少。我们认为,使用螺旋栓塞剂进行支气管栓塞造成的损害较小,是治疗高危患者难治性肺瘘的有效方法。