Jaspersen D, Hammar C H, Wzatek J
Medizinische Klinik II, Städtisches Klinikum Fulda.
Pneumologie. 1992 Sep;46(9):484-6.
The 65 year old patient referred to in this report has been suffering from an inoperable squamous cell carcinoma of the right superior lobe of the lung for the last two years. After therapeutic irradiation the disease subsided temporarily. Subsequently the patient became severely ill and was referred to hospital with high fever and refractory pneumonia. X-ray film revealed atelectasis of the right superior and central lobes and a pneumonic infiltration of the right inferior lobe. Bronchoscopy showed complete tumour stenoses of the superior and central lobes. The lower lobe of the lung was visualised as subtotally stenosed and obstructed by pus. Despite pathogen-directed antibiosis the poststenotic retention pneumonia did not heal. After laser recanalisation of the right inferior lobe we implanted an endobronchial stent. Subsequently, the pneumonia receded and the patient survived for five months relatively free from complaints.
本报告中提及的这位65岁患者,在过去两年中一直患有右肺上叶无法手术切除的鳞状细胞癌。经过放射治疗后,病情暂时缓解。随后患者病情严重,因高热和难治性肺炎被转诊至医院。X光片显示右肺上叶和中叶肺不张,右下叶有肺炎浸润。支气管镜检查显示上叶和中叶完全被肿瘤阻塞。下叶可见大部分狭窄并被脓液阻塞。尽管采用了针对性的抗生素治疗,狭窄后潴留性肺炎仍未痊愈。在对右下叶进行激光再通术后,我们植入了一个支气管内支架。随后,肺炎消退,患者存活了五个月,相对没有不适症状。