经胸壁胸腔分流术导致的复发性症状性胸腔积液。
Recurrent symptomatic pleural effusion from a syringopleural shunt.
作者信息
Ajja Crystal T, Chang Tiffany F, Ayers Eric
机构信息
Department of Internal Medicine-Pediatrics, Wayne State University/Detroit Medical Center, Detroit, Michigan.
出版信息
Proc (Bayl Univ Med Cent). 2021 Jan 22;34(3):397-398. doi: 10.1080/08998280.2020.1871176.
A patient with a syringopleural shunt with dyspnea and cough was found to have a recurrent large pleural effusion. Computed tomography of the thorax revealed the syringopleural shunt catheter abutting the pleural effusion, and beta-2 transferrin was detected in the pleural fluid, suggesting that the recurrent symptomatic pleural effusion was secondary to the syringopleural shunt. Physicians should be cognizant of this potential long-term complication of syringopleural shunts. Management includes revising the shunt with a programmable device or converting it to a syringoperitoneal or syringoarachnoid shunt.
一名患有脊髓胸膜分流术且伴有呼吸困难和咳嗽的患者被发现存在复发性大量胸腔积液。胸部计算机断层扫描显示脊髓胸膜分流导管紧邻胸腔积液，且在胸液中检测到β-2转铁蛋白，提示复发性有症状胸腔积液继发于脊髓胸膜分流术。医生应认识到脊髓胸膜分流术这种潜在的长期并发症。治疗措施包括使用可程控装置对分流术进行修正或改为脊髓腹膜分流术或脊髓蛛网膜下腔分流术。
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