Russchen G H, Wouters B, Meinesz A F, Janssen S, Postmus P E
Dept. of Pulmonary Diseases, University Hospital, Groningen, The Netherlands.
Eur Respir J. 1990 Sep;3(8):932-3.
We report a patient presenting with dyspnoea, cough and fever with a middle lobe atelectasis. Amyloid deposits in the bronchial wall caused almost complete obstruction of the middle lobe bronchus. The patient was treated with neodymium yttrium aluminium garnet (NdYAG) laser photoresection resulting in complete clearance of the middle lobe bronchus. Laser therapy has to be considered as first-line therapy for patients with endobronchial amyloidosis.
我们报告了一名出现呼吸困难、咳嗽和发热并伴有中叶肺不张的患者。支气管壁中的淀粉样沉积物几乎导致中叶支气管完全阻塞。该患者接受了钕钇铝石榴石(NdYAG)激光光切除治疗,中叶支气管得以完全通畅。对于支气管内淀粉样变患者,激光治疗应被视为一线治疗方法。