Alencherry J R, Fagan T, Shah R M
Veterans Administration Medical Center, Wilkes-Barre, PA.
Chest. 1991 Aug;100(2):582-4. doi: 10.1378/chest.100.2.582.
A 53-year-old white man underwent a left pneumonectomy for alveolar cell carcinoma. His postoperative course was complicated by pneumonia. At a follow-up clinic visit, the patient complained of a "roaring sound" during respiration. A follow-up PFT did not show the expected loss of volume (nitrogen washout) from a preoperative PFT, suggesting a bronchopleural fistula. A chest x-ray film and xenon lung scan confirmed the diagnosis. The fistula was surgically repaired.
一名53岁的白人男性因肺泡细胞癌接受了左肺切除术。他的术后病程因肺炎而复杂化。在一次随访门诊中，患者抱怨呼吸时有“呼啸声”。随访的肺功能测试（PFT）并未显示出较术前PFT预期的容积损失（氮洗脱），提示存在支气管胸膜瘘。胸部X光片和氙肺扫描确诊了该诊断。瘘管通过手术修复。
