Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.
Department of Primary Care and Emergency Medicine, Kyoto University Hospital, Kyoto, Japan.
Ann Thorac Surg. 2021 Feb;111(2):e117-e119. doi: 10.1016/j.athoracsur.2020.05.085. Epub 2020 Jul 10.
Pulmonary cavitation rarely occurs after pulmonary infarction. Compared with bland infarction, infectious cavitary infarction has a higher mortality rate and requires an aggressive surgical approach to improve the outcome. We herein report a cavitary infarction with Pseudomonas infection that rapidly and destructively grew after the development of bilateral pulmonary emboli despite administration of anticoagulation therapy with antibiotics. The pulmonary infarction was successfully resected by right upper lobectomy.
肺空洞在肺梗死后很少发生。与单纯性梗死相比,感染性空洞性梗死的死亡率更高,需要积极的手术方法来改善预后。本文报告了一例空洞性梗死伴铜绿假单胞菌感染的病例,尽管在抗生素抗凝治疗后仍迅速且破坏性地生长,发生了双侧肺栓塞。通过右上肺叶切除术成功切除了肺梗死。