Shiroyama Takayuki, Okamoto Norio, Tamiya Motohiro, Hamaguchi Masanari, Tanaka Ayako, Nishida Takuji, Hayama Manabu, Nishihara Takashi, Morishita Naoko, Suzuki Hidekazu, Hirashima Tomonori
Department of Thoracic Malignancy, Prefectural Medical Center for Respiratory and Allergic Diseases, Japan.
Intern Med. 2016;55(6):663-5. doi: 10.2169/internalmedicine.55.5939. Epub 2016 Mar 15.
A 72-year-old man with salivary gland cancer and multiple pulmonary metastases suffering from intractable pneumothorax was transferred to our institution; he was inoperable because of a low pulmonary function. A chest tube had been placed more than a month prior to this admission. A digital drainage system was used for 24-h monitoring of air leaks (Thopaz®). Using the Thopaz® system, we performed endoscopic bronchial occlusion using an endobronchial Watanabe spigot (EWS) to reduce air leaks. Finally, the air leaks ceased, and the chest tube was removed five days after EWS placement. We herein report a case of persistent pneumothorax that was successfully treated by endoscopic bronchial EWS placement with the aid of a Thopaz® system.
一名72岁患有唾液腺癌并伴有多处肺转移的男性患者，因顽固性气胸被转至我院；由于肺功能低下，他无法接受手术。在此次入院前一个多月就已放置了胸管。使用数字引流系统（Thopaz®）对漏气情况进行24小时监测。我们使用Thopaz®系统，通过支气管内渡边栓子（EWS）进行内镜下支气管封堵以减少漏气。最终，漏气停止，在放置EWS五天后拔除了胸管。我们在此报告一例通过借助Thopaz®系统进行内镜下支气管EWS放置成功治疗的持续性气胸病例。
