Department of Cardiothoracic Surgery, Zhongshan People's Hospital (Zhongshan Hospital of Sun Yat-Sen University), Zhongshan, China.
Intensive Care Unit, Zhongshan People's Hospital (Zhongshan Hospital of Sun Yat-Sen University), Zhongshan, China.
Ann Thorac Surg. 2021 Feb;111(2):e121-e125. doi: 10.1016/j.athoracsur.2020.05.081. Epub 2020 Jul 8.
The diagnosis and treatment of massive hemoptysis remain challenging. We report a 28-year-old woman with refractory massive hemoptysis caused by a mediastinal hemangioma. Despite multiple bronchial artery embolizations and fiberoptic bronchoscopy treatments, effective control of the bleeding and clearing of the airway was not possible. Finally, with the support of venovenous extracorporeal membrane oxygenation, mediastinal hemangioma resection and right upper lobe sleeve resection were simultaneously performed. During the operation, many blood clots in the airway were removed. The airway bleeding was effectively controlled, and the patient recovered.
大咯血的诊断和治疗仍然具有挑战性。我们报告了一例 28 岁女性，因纵隔血管瘤导致难治性大咯血。尽管进行了多次支气管动脉栓塞和纤维支气管镜治疗，但仍无法有效控制出血和清除气道。最后，在静脉-静脉体外膜肺氧合的支持下，同时进行了纵隔血管瘤切除术和右上叶袖状切除术。手术过程中，气道内清除了许多血块。气道出血得到了有效控制，患者康复。
