Tsumatori G, Hayashi K, Kurimoto N, Kamata T, Akagawa T
Department of Surgery, Self Defense Force Etajima Hospital, Hiroshima, Japan.
Kekkaku. 1990 Jul;65(7):483-8.
An operated case of M. fortuitum infection on the bronchiectatic lung was presented. A 68-year-old female had had hemoptysis due to bronchiectasis since she was 44 years of age. She had a history of pulmonary tuberculosis at the age of 58 and treated by anti-tuberculosis drugs for a year. She was referred to the National Sanatorium Hiroshima Hospital in March 1986 for surgical treatment, when M. fortuitum infection was found. Lobectomy of the right middle lobe, right S6 Segmentectomy and partial resection of right S2 were performed on December 1st 1986. After the operation, hemoptysis disappeared but M. fortuitum was still found in sputum. Chest X-ray examination revealed some new abnormal shadows. When radical surgical treatment for secondary M. fortuitum pulmonary infection is considered careful attention should be given to its indications including the extent of resection and the predicted post-operative pulmonary function.
本文报告1例支气管扩张肺合并偶然分枝杆菌感染的手术病例。一名68岁女性，自44岁起因支气管扩张咯血。58岁时曾患肺结核，接受抗结核药物治疗1年。1986年3月因手术治疗转诊至广岛国立疗养院医院，当时发现偶然分枝杆菌感染。1986年12月1日进行了右中叶肺叶切除术、右S6段切除术和右S2部分切除术。术后咯血消失，但痰中仍发现偶然分枝杆菌。胸部X线检查发现一些新的异常阴影。在考虑对继发性偶然分枝杆菌肺部感染进行根治性手术治疗时，应仔细注意其适应证，包括切除范围和预计的术后肺功能。
