Uyar Meral, Sanli Maruf, Kervancioglu Selim, Taskin-Dogan Berna, Bakir Kemal, Dikensoy Oner
Department of Pulmonary Medicine, Gaziantep University, Gaziantep, Turkey.
Med Princ Pract. 2017;26(2):179-181. doi: 10.1159/000455858. Epub 2017 Jan 9.
To emphasize the importance of a careful clinical evaluation to prevent unnecessary interventions and treatments.
A 76-year-old female patient had been diagnosed with asthma during previous admissions to different hospitals. She had also undergone fiberoptic bronchoscopy (FOB) on 2 occasions for evaluation of right middle lobe atelectasis observed on computed tomography. A repeated FOB revealed tracheobronchomalacia and nodular bronchial amyloidosis. A silicone Y stent was inserted, but the dyspnea increased. Excessive granulation tissue developed, and the patient died despite ventilatory support.
The stenting technique used did not prevent the development of respiratory failure and death in this patient. Hence, a surgical procedure could be considered as an alternative to stenting in such cases.
强调仔细的临床评估对于预防不必要的干预和治疗的重要性。
一名76岁女性患者在之前入住不同医院时被诊断为哮喘。她还曾两次接受纤维支气管镜检查（FOB），以评估计算机断层扫描中发现的右中叶肺不张。重复的FOB显示气管支气管软化和结节性支气管淀粉样变。插入了一个硅胶Y形支架，但呼吸困难加重。出现了过多的肉芽组织，尽管给予了通气支持，患者仍死亡。
所采用的支架置入技术未能防止该患者呼吸衰竭的发生和死亡。因此，在这种情况下，可考虑将外科手术作为支架置入的替代方案。
