Kurimoto Noriaki, Shinmyo Takuo, Tagay Rie, Andou Kouji, Morita Katsuhiko, Mochizuki Atsushi, Nakamura Haruhiko, Koike Jyunki
Department of Chest Surgery, St. Marianna University School of Medicine.
Nihon Kokyuki Gakkai Zasshi. 2011 Aug;49(8):588-91.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become widespread, but reports of complications are rare.
An enlarged mediastinal lymph node (4R) was detected in a 67-year-old man 33 months after surgery for rectal cancer, and we performed EBUS-TBNA to confirm the diagnosis. He was then admitted to hospital 13 days after the procedure, with cough, a swollen mediastinal fatty area around the 4R lymph node, and elevated WBC and CRP levels. After a diagnosis of acute mediastinitis was confirmed we gave him antibiotics, which improved his symptoms, the mediastinal fatty area and his WBC and CRP levels.
We have to be aware of the possibility of acute mediastinitis after EBUS-TBNA of necrotic lymph nodes.
支气管内超声引导下经支气管针吸活检术（EBUS-TBNA）已广泛应用，但并发症报告较少。
一名67岁男性在直肠癌手术后33个月发现纵隔淋巴结（4R）肿大，我们进行了EBUS-TBNA以确诊。术后13天，他因咳嗽、4R淋巴结周围纵隔脂肪区肿胀、白细胞和CRP水平升高入院。确诊为急性纵隔炎后，我们给予他抗生素治疗，症状、纵隔脂肪区以及白细胞和CRP水平均有所改善。
我们必须意识到对坏死淋巴结进行EBUS-TBNA后发生急性纵隔炎的可能性。
