Skalski Joseph H, Kern Ryan M, Midthun David E, Edell Eric S, Maldonado Fabien
Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
J Bronchology Interv Pulmonol. 2016 Jan;23(1):63-6. doi: 10.1097/LBR.0000000000000182.
We present the case of a 49-year-old man who developed pulmonary abscess as a complication of transbronchial lung cryobiopsy. He had been receiving prednisone therapy, but otherwise had no specific risk factors for lung abscess. Cryobiopsy is a novel technique for obtaining peripheral lung parenchymal tissue for the evaluation of diffuse parenchymal lung diseases. Cryobiopsy is being increasingly proposed as an alternative to surgical lung biopsy or conventional bronchoscopic transbronchial forceps biopsy, but the safety profile of the procedure has not been fully appreciated. Pulmonary abscess has been rarely reported as a complication of other bronchoscopic procedures such as endobronchial ultrasound-guided needle biopsy, however, to our knowledge this is the first reported case of pulmonary abscess complicating peripheral lung cryobiopsy.
我们报告一例49岁男性患者，其发生了作为经支气管肺冷冻活检并发症的肺脓肿。他一直在接受泼尼松治疗，但除此之外没有肺脓肿的特定危险因素。冷冻活检是一种获取外周肺实质组织以评估弥漫性实质性肺疾病的新技术。越来越多的人提议将冷冻活检作为外科肺活检或传统支气管镜经支气管钳取活检的替代方法，但该操作的安全性尚未得到充分认识。肺脓肿作为其他支气管镜检查程序（如支气管内超声引导针吸活检）的并发症很少被报道，然而，据我们所知，这是第一例报道的外周肺冷冻活检并发肺脓肿的病例。
