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右肺下肺动脉异物栓塞 1 例罕见病例报告。

A strange case of foreign body embolism in the right lower pulmonary artery.

机构信息

Thoracic Surgery Unit, Department of Thoracic Diseases, G.B. Morgagni-L. Pierantoni Hospital, University of Bologna, 34 Carlo Forlanini Street, 47121, Forli, Italy.

出版信息

Gen Thorac Cardiovasc Surg. 2021 May;69(5):894-896. doi: 10.1007/s11748-020-01570-5. Epub 2021 Jan 5.

Abstract

Foreign bodies in the pulmonary circulation have been documented in the literature, with almost all cases being iatrogenic, involving venous catheters, or due to penetrating foreign body emboli. Foreign body pulmonary emboli are often difficult to diagnose due to their varied clinical presentation, the nature of the embolizing material and dubious radiological features. We describe the case of a patient who experienced episodes of massive hemoptysis with inconclusive radiological findings, who underwent a thoracotomy with the discovery of a wooden object of 7 cm in length in the right lower lobe artery, with no apparent mechanism of injury.

摘要

肺循环中的异物在文献中已有记载,几乎所有病例都是医源性的,涉及静脉导管,或由于穿透性异物栓塞。由于栓塞物质的性质和可疑的影像学特征,异物性肺栓塞的临床表现多种多样,往往难以诊断。我们描述了这样一个病例,患者经历了大量咯血发作,影像学检查结果不确定,随后进行了开胸手术,在右下肺叶动脉中发现了一个 7 厘米长的木制物体,没有明显的损伤机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a28d/7783300/8c5acb587429/11748_2020_1570_Fig1_HTML.jpg

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