留置胸腔导管治疗恶性胸腔积液伴持续性气胸。
Indwelling pleural catheter for malignant pleural effusion with persistent air leak.
机构信息
Respiratory Unit, Department of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Respiratory Unit, Department of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
出版信息
BMJ Case Rep. 2022 Aug 19;15(8):e248574. doi: 10.1136/bcr-2021-248574.
Abstract
Malignant pleural effusion with persistent air leak (PAL) is a rare manifestation of lung malignancy. We present a woman in her 50s with postpleuroscopy PAL. Pleural biopsy confirmed adenocarcinoma with detection of epidermal growth factor receptor mutation in exon 19. An indwelling pleural catheter (IPC) was inserted and connected to an Atrium Express Mini ambulatory drain. This procedure reduced the length of hospital stay. Autopleurodesis with resolution of PAL occurred at week 3 of IPC insertion.
摘要
恶性胸腔积液伴持续性气胸（PAL）是肺部恶性肿瘤的一种罕见表现。我们报告了一例 50 多岁女性患者，在胸腔镜检查后出现 PAL。胸膜活检证实为腺癌，检测到外显子 19 中的表皮生长因子受体突变。插入留置胸膜导管（IPC）并连接到 Atrium Express Mini 门诊引流管。该程序缩短了住院时间。IPC 插入后第 3 周行自动胸膜固定术，PAL 得到解决。
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