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1例坏死性肺炎合并鸟分枝杆菌复合群感染患者发生支气管胸膜瘘和气胸的病例

A Case of Bronchopleural Fistula and Hydropneumothorax in a Patient With Necrotizing Pneumonia Complicated by Mycobacterium avium Complex.

作者信息

Hosna Asma U, Miller Daniel

机构信息

Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, Jamaica, USA.

Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, Brooklyn, USA.

出版信息

Cureus. 2022 Oct 13;14(10):e30280. doi: 10.7759/cureus.30280. eCollection 2022 Oct.

DOI:10.7759/cureus.30280
PMID:36407137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9653535/
Abstract

A bronchopulmonary fistula is a pathological connection that develops between the bronchi and the pleural cavity as a result of etiologies including surgery, infection, blunt or penetrating trauma, radiation, chemotherapy, and chronic obstructive pulmonary disease sequela. Diagnosis and treatment are challenging for intensivists. We present a case report of bronchopulmonary fistula resulting in hydropneumothorax caused by necrotizing pneumonia and complicated by mycobacterium avium complex that resolved spontaneously. The aim of this case report is to discuss the presentation and treatment of bronchopleural fistulas.

摘要

支气管肺瘘是一种病理连接，由于包括手术、感染、钝性或穿透性创伤、放疗、化疗以及慢性阻塞性肺疾病后遗症等病因，在支气管和胸膜腔之间形成。对于重症监护医生来说，诊断和治疗具有挑战性。我们报告一例由坏死性肺炎导致并合并鸟分枝杆菌复合体感染的支气管肺瘘引发液气胸且自行缓解的病例。本病例报告的目的是讨论支气管胸膜瘘的临床表现和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/126f04ef665f/cureus-0014-00000030280-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/445201d02e09/cureus-0014-00000030280-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/4a82ba5faa18/cureus-0014-00000030280-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/bc22ebc54960/cureus-0014-00000030280-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/126f04ef665f/cureus-0014-00000030280-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/445201d02e09/cureus-0014-00000030280-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/4a82ba5faa18/cureus-0014-00000030280-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/bc22ebc54960/cureus-0014-00000030280-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a11d/9653535/126f04ef665f/cureus-0014-00000030280-i04.jpg

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J Investig Med High Impact Case Rep. 2021 Jan-Dec;9:23247096211013215. doi: 10.1177/23247096211013215.
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Respirol Case Rep. 2020 Sep 15;8(8):e00662. doi: 10.1002/rcr2.662. eCollection 2020 Nov.
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