Scott W W, Kuhlman J E
Department of Radiology, Johns Hopkins Hospital, Baltimore, MD 21205.
Radiology. 1991 Aug;180(2):419-21. doi: 10.1148/radiology.180.2.2068304.
The authors performed percutaneous transthoracic needle biopsy (PTNB) in 13 patients with acquired immunodeficiency syndrome (AIDS) and previously undiagnosed focal pulmonary lesions. Findings with PTNB were diagnostic in 11 of 13 cases. Complications included minimal hemoptysis in one case and small pneumothoraxes in two cases, one of which required chest tube drainage. The authors did not experience the high complication rate reported previously by some authors who used this diagnostic procedure in AIDS patients. In cases in which findings at fiberoptic bronchoscopy with transbronchial biopsy and lavage failed to provide a diagnosis, PTNB provided a reliable, relatively safe diagnostic tool to establish the cause of pulmonary masses or focal infiltrates in AIDS patients.
作者对13例获得性免疫缺陷综合征（AIDS）患者且此前未诊断出的局灶性肺部病变进行了经皮经胸针吸活检（PTNB）。PTNB结果在13例中的11例具有诊断价值。并发症包括1例轻度咯血和2例小气胸，其中1例需要胸腔闭式引流。作者未遇到一些作者此前报道的在AIDS患者中使用此诊断方法时出现的高并发症发生率。在纤维支气管镜检查联合经支气管活检和灌洗未能明确诊断的病例中，PTNB为确定AIDS患者肺部肿块或局灶性浸润的病因提供了一种可靠且相对安全的诊断工具。
