在一名患有鸟分枝杆菌复合群肺部感染的患者中，使用支气管内渡边栓子进行支气管封堵治疗大量咯血。
Bronchial occlusion with Endobronchial Watanabe Spigots for massive hemoptysis in a patient with pulmonary Mycobacterium avium complex infection.
作者信息
Adachi Takashi, Ogawa Kenji, Yamada Noritaka, Nakamura Toshinobu, Nakagawa Taku, Tarumi Osamu, Hayashi Yuta, Nakahara Yoshio
机构信息
Department of Respiratory Medicine, National Hospital Organization, Higashinagoya National Hospital, 5-101 Umemorizaka, Meito-ku, Nagoya, Aichi 468-8620, Japan.
出版信息
Respir Investig. 2016 Mar;54(2):121-4. doi: 10.1016/j.resinv.2015.09.004. Epub 2015 Nov 20.
The safety of occlusion with Endobronchial Watanabe Spigots (EWS) for the management of hemoptysis associated with chronic respiratory tract infection has not yet been established. A 57-year-old woman diagnosed as having pulmonary Mycobacterium avium complex (MAC) infection presented to our hospital with hemoptysis. She underwent bronchoscopy for bronchial occlusion with EWS, which resulted in the resolution of hemoptysis. Subsequently, she underwent bronchial artery embolization and then EWS were removed. During placement of EWS, no worsening of infection was observed. After removal of EWS, there was no recurrence of hemoptysis. Bronchial occlusion with EWS for hemoptysis associated with pulmonary MAC infection can be performed safely.
支气管内渡边栓子（EWS）封堵术用于治疗与慢性呼吸道感染相关咯血的安全性尚未确立。一名57岁被诊断为肺部鸟分枝杆菌复合群（MAC）感染的女性因咯血就诊于我院。她接受了支气管镜检查，采用EWS进行支气管封堵，咯血得以缓解。随后，她接受了支气管动脉栓塞术，然后取出了EWS。在放置EWS期间，未观察到感染恶化。取出EWS后，咯血未复发。对于与肺部MAC感染相关的咯血，使用EWS进行支气管封堵术可安全实施。
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