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胸腔积液还是左主支气管黏液阻塞：引流还是不引流？值班青年外科医生的决策

Pleural Effusion or Main Left Bronchus Mucus Obstruction: To Drain or Not to Drain? Decision-Making for Young Surgeon on Call.

作者信息

Coco Danilo, Leanza Silvana

机构信息

Madre Teresa of Calcutta Hospital, Schiavonia, Padova, Italy.

Carlo Urbani Hospital, Jesi, Ancona, Italy.

出版信息

Case Rep Radiol. 2018 Jan 28;2018:3180575. doi: 10.1155/2018/3180575. eCollection 2018.

DOI:10.1155/2018/3180575
PMID:29564189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5829320/
Abstract

Mucous plugs occur in a number of pulmonary conditions. Central right or left bronchus mucus plug causes complete pulmonary collapse making it an emergency life-threatening case. We describe the case of an 80-year-old man that, in postoperative period after a urological intervention, has had a progressive tachypnea and dyspnea during hospitalization for urological problems. Young surgeon on call was called.

摘要

黏液栓见于多种肺部疾病。右主支气管或左主支气管中央黏液栓可导致全肺萎陷，使其成为危及生命的紧急情况。我们描述了一名80岁男性的病例，该患者在接受泌尿外科手术后的住院期间，因泌尿系统问题出现进行性呼吸急促和呼吸困难。当时呼叫了值班的年轻外科医生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/2f9b0368ec1f/CRIRA2018-3180575.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/cc01509c3b12/CRIRA2018-3180575.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/ede7676565bb/CRIRA2018-3180575.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/9cc27e398653/CRIRA2018-3180575.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/2f9b0368ec1f/CRIRA2018-3180575.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/cc01509c3b12/CRIRA2018-3180575.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/ede7676565bb/CRIRA2018-3180575.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/9cc27e398653/CRIRA2018-3180575.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6881/5829320/2f9b0368ec1f/CRIRA2018-3180575.004.jpg

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本文引用的文献

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Bronchial tree-shaped mucous plug in cystic fibrosis: imaging-guided management.囊性纤维化中的支气管树状黏液栓：影像引导下的管理
Respirol Case Rep. 2017 Jan 12;5(2):e00214. doi: 10.1002/rcr2.214. eCollection 2017 Mar.
2
Acute respiratory failure during pediatric anesthesia: atelectasis and hypertensive pneumothorax: case report.小儿麻醉期间的急性呼吸衰竭：肺不张与高压性气胸：病例报告
Rev Bras Anestesiol. 2012 Jan-Feb;62(1):80-7. doi: 10.1016/S0034-7094(12)70106-X.
3
Images in clinical medicine. Mucous plug in the bronchus causing lung collapse.
临床医学影像。支气管内的黏液栓导致肺萎陷。
N Engl J Med. 2002 Oct 3;347(14):1079. doi: 10.1056/NEJMicm020362.