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经支气管超声引导针吸活检术并发脓胸、肺脓肿和纵隔脓肿的罕见综合征。

A rare constellation of empyema, lung abscess, and mediastinal abscess as a complication of endobronchial ultrasound-guided transbronchial needle aspiration.

机构信息

Department of Internal Medicine, National Taiwan University Hospital, Yun-Lin Branch, Yunlin, Taiwan.

出版信息

Eur J Cardiothorac Surg. 2011 Jul;40(1):264-5. doi: 10.1016/j.ejcts.2010.11.037. Epub 2010 Dec 22.

DOI:10.1016/j.ejcts.2010.11.037
PMID:21183356
Abstract

The introduction of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) brought about significant advancement in the field of bronchoscopy. The major indications for EBUS-TBNA are lung cancer staging and diagnosis of mediastinal lymphadenopathy. This procedure is minimally invasive and cost saving, and no complications have been described in large-scale studies. In this report, we present a case of empyema, lung abscess, and mediastinal abscess that developed in a patient undergoing EBUS-TBNA; the patient subsequently recovered uneventfully after aggressive surgical debridement and antimicrobial therapy.

摘要

经支气管超声内镜引导下经支气管针吸活检术(EBUS-TBNA)的引入,使支气管镜技术领域取得了重大进展。EBUS-TBNA 的主要适应证为肺癌分期和纵隔淋巴结肿大的诊断。该操作微创且节省成本,在大规模研究中并未描述相关并发症。在本报告中,我们介绍了一例在接受 EBUS-TBNA 后发生脓胸、肺脓肿和纵隔脓肿的患者,该患者在积极的手术清创和抗菌治疗后顺利康复。

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