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一例通过使用引导鞘进行经支气管引流成功治疗的肺脓肿病例。

A case of lung abscess successfully treated by transbronchial drainage using a guide sheath.

作者信息

Izumi Hiroki, Kodani Masahiro, Matsumoto Shingo, Kawasaki Yuji, Igishi Tadashi, Shimizu Eiji

机构信息

Division of Medical Oncology and Molecular Respirology, Faculty of Medicine Tottori University Yonago Japan.

Division of Internal Medicine Tsuyama Daiichi Hospital Tsuyama Japan.

出版信息

Respirol Case Rep. 2017 Mar 24;5(3):e00228. doi: 10.1002/rcr2.228. eCollection 2017 May.

DOI:10.1002/rcr2.228
PMID:28361002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5371385/
Abstract

A 51-year-old man was diagnosed with colon cancer in September 2011, and a solitary pulmonary nodule was detected by computed tomography (CT) scan. We performed a transbronchial biopsy with endobronchial ultrasonography using a guide sheath (GS) and diagnosed lung metastasis of colon cancer. The patient experienced remittent fever after the biopsy in spite of intravenous antibiotic therapies. Moreover, his CT scan showed a large lung abscess at the biopsy site. We performed transbronchial drainage using a GS as salvage therapy. The bloody pus was successfully aspirated, and chest X-ray following the procedure showed dramatic shrinkage of the abscess.

摘要

一名51岁男性于2011年9月被诊断为结肠癌，计算机断层扫描（CT）发现一个孤立性肺结节。我们使用引导鞘（GS）通过支气管内超声进行了经支气管活检，诊断为结肠癌肺转移。尽管进行了静脉抗生素治疗，但患者在活检后仍持续发热。此外，他的CT扫描显示活检部位有一个大肺脓肿。我们使用GS进行经支气管引流作为挽救治疗。成功吸出了血性脓液，术后胸部X线显示脓肿显著缩小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a8/5371385/e99775a20de1/RCR2-5-na-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a8/5371385/494290e309e9/RCR2-5-na-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a8/5371385/e99775a20de1/RCR2-5-na-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a8/5371385/494290e309e9/RCR2-5-na-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0a8/5371385/e99775a20de1/RCR2-5-na-g002.jpg

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本文引用的文献

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Respiration. 2015;90(2):129-35. doi: 10.1159/000431383. Epub 2015 Jun 19.
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肺脓肿的内镜引流：技术与结果
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Percutaneous management of intrapulmonary air and fluid collections.经皮处理肺内气体和液体积聚
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