Suzuki Manabu, Araki Kyoko, Matsubayashi Sachi, Kobayashi Konomi, Morino Eriko, Takasaki Jin, Iikura Motoyasu, Izumi Shinyu, Takeda Yuichiro, Sugiyama Haruhito
Department of Respiratory Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
Ann Transl Med. 2019 Mar;7(5):108. doi: 10.21037/atm.2019.02.11.
A 60-year-old man was admitted to our hospital because of massive hemoptysis with acute respiratory failure. Since six months ago, he noticed gradual worsening of hemoptysis and was transferred to our hospital. Chest computed tomography showed a nodular lesion with cavitation in the left upper lobe and surrounding ground-glass opacification. Initially, a hemostatic agent was administered, but we eventually performed bronchial artery embolization (BAE) by ourselves due to persistent hemoptysis. After achieving good hemostasis with BAE bronchoscopy was performed, which gave a diagnosis of pulmonary actinomycosis on histopathologic examination of the transbronchial biopsy specimen without the need for lung resection.
一名60岁男性因大量咯血伴急性呼吸衰竭入住我院。自6个月前起，他注意到咯血逐渐加重，遂转至我院。胸部计算机断层扫描显示左上叶有一个伴有空洞形成的结节性病变，周围有磨玻璃样混浊。起初，给予了止血剂，但由于持续咯血，我们最终自行进行了支气管动脉栓塞术（BAE）。在BAE取得良好止血效果后，进行了支气管镜检查，经支气管活检标本的组织病理学检查确诊为肺放线菌病，无需进行肺切除术。
