支气管内超声引导下经支气管针吸活检术后纵隔感染并发症
Mediastinal infectious complication after endobronchial ultrasound-guided transbronchial needle aspiration.
作者信息
Gochi Fumiaki, Chen Fengshi, Aoyama Akihiro, Date Hiroshi
机构信息
Department of Thoracic Surgery, Kyoto University, Kyoto, Japan.
出版信息
Interact Cardiovasc Thorac Surg. 2013 Oct;17(4):751-2. doi: 10.1093/icvts/ivt273. Epub 2013 Jun 27.
Abstract
We report here a mediastinal infectious complication after endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) that was successfully treated using intravenous antibiotic therapy. EBUS-TBNA was performed for a 59-year old man with mediastinal adenopathy 8 years after left pneumonectomy for squamous cell carcinoma of the lung. A single-needle pass produced an adequate cytology and histology sample, and the lesion was diagnosed as small-cell lung cancer. The procedure itself was uneventful, but the patient developed a nightly fever after the biopsy. Finally, he was readmitted, and intravenous antibiotic therapy was required for 4 weeks to treat a mediastinal infection after EBUS-TBNA before chemotherapy for small-cell lung cancer.
摘要
我们在此报告1例经支气管超声引导下经支气管针吸活检术（EBUS-TBNA）后发生的纵隔感染并发症，该并发症通过静脉抗生素治疗成功治愈。1名59岁男性因肺鳞状细胞癌行左肺切除术后8年，因纵隔淋巴结肿大接受EBUS-TBNA检查。单次穿刺获得了足够的细胞学和组织学样本，病变被诊断为小细胞肺癌。操作过程本身顺利，但患者在活检后出现夜间发热。最后，患者再次入院，在接受小细胞肺癌化疗前，因EBUS-TBNA术后纵隔感染接受了4周的静脉抗生素治疗。
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