Dutau Hervé, Palot Alain, Haas Andrew, Decamps Isabelle, Durieux Olivier
Thoracic Endoscopy Unit, Sainte Marguerite Hospital, Marseille, France.
Respiration. 2006;73(6):830-2. doi: 10.1159/000092954. Epub 2006 Apr 21.
A 39-year-old-woman was treated successfully by a combination of endobronchial and bronchial artery embolization for massive hemorrhage originating from the posterior segment of the right upper lobe. Endobronchial embolization was performed using a silicone spigot placed via flexible bronchoscopy in order to prevent alveolar inundation preceding and during the time of bronchial artery embolization. Massive hemorrhage is a rare and severe condition associated with a high mortality that requires rapid intervention and management. We describe a case that emphasizes the efficacy of a multidisciplinary approach including the use of a new bronchoscopic technique.
一名39岁女性因右上叶后段大量出血,采用支气管内栓塞和支气管动脉栓塞联合治疗成功。在进行支气管动脉栓塞之前和期间,通过可弯曲支气管镜放置硅胶插管进行支气管内栓塞,以防止肺泡淹没。大量出血是一种罕见且严重的疾病,死亡率高,需要迅速干预和处理。我们描述了一个病例,强调了包括使用一种新的支气管镜技术在内的多学科方法的有效性。