无症状男性，偶然发现巨大脓胸。
Asymptomatic man with an incidental finding of a massive empyema.
机构信息
Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Tufts Medical Center, Boston, Massachusetts, USA.
出版信息
BMJ Case Rep. 2020 Sep 10;13(9):e237178. doi: 10.1136/bcr-2020-237178.
We describe the case of a 67-year-old asymptomatic man who was referred to our hospital for abnormal laboratory results. He was incidentally found to have a massive empyema without underlying bronchopulmonary pneumonia. Following thoracentesis, he was diagnosed with chronic empyema. Therapeutic thoracentesis and treatment with tissue plasminogen activator and deoxyribonuclease failed to resolve the empyema, and there was residual loculated pleural fluid that was surrounded by a thick rind. The patient was referred to thoracic surgery for decortication of the pleural space via video-assisted thoracoscopic surgery. At 2-month follow-up, the patient had complete re-expansion of the lung tissue.
我们描述了一例 67 岁无症状男性患者，因异常实验室结果被转诊至我院。他偶然被发现患有大量脓胸，但无潜在的支气管肺炎。行胸腔穿刺后，诊断为慢性脓胸。虽然采用了胸腔穿刺抽液、组织型纤溶酶原激活物和脱氧核糖核酸酶治疗，但脓胸仍未得到解决，仍遗留分隔性胸腔积液，被一层厚厚的硬壳所包围。患者被转至胸外科，行胸腔镜辅助小切口开胸廓清术。在 2 个月的随访中，患者的肺部组织完全复张。
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