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肺毛霉菌病:一例合并肺动脉高压、韦斯特马克征及支气管胸膜瘘的病例

Pulmonary mucormycosis: a case of pulmonary arterial hypertension, Westermark sign, and bronchopleural fistula.

作者信息

Shao Weipeng, Zhang Zhenrong, Feng Hongxiang, Liang Chaoyang, Liu Deruo

机构信息

Department of General Thoracic Surgery, Peking University China-Japan Friendship School of Clinical Medicine and 36635China-Japan Friendship Hospital, Beijing, China.

Department of General Thoracic Surgery, 36635China-Japan Friendship Hospital, Beijing, China.

出版信息

J Int Med Res. 2020 Nov;48(11):300060520971450. doi: 10.1177/0300060520971450.

Abstract

We herein describe a patient with pulmonary mucormycosis and acute myelogenous leukemia. Computed tomography showed a widened pulmonary artery, a bronchopleural fistula, and the Westermark sign. Despite worsening hemoptysis, the operation was delayed for 6 months. The operation was very complicated and difficult. A thorough preoperative examination, adequate preoperative preparation, appropriate surgical timing, and rich clinical and surgical experience were the keys to successful surgery in this case.

摘要

我们在此描述一名患有肺毛霉菌病和急性髓细胞白血病的患者。计算机断层扫描显示肺动脉增宽、支气管胸膜瘘和韦斯特马克征。尽管咯血情况恶化,但手术推迟了6个月。手术非常复杂且困难。全面的术前检查、充分的术前准备、合适的手术时机以及丰富的临床和手术经验是该病例手术成功的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d310/7708708/f1401e77371d/10.1177_0300060520971450-fig1.jpg

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