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创伤性胸腔闭式引流术后广泛皮下气肿

Extensive Subcutaneous Emphysema Post-traumatic Tube Thoracostomy.

作者信息

Mallat Mariam, Diab Abdallah, Bleibel Jerar, Olaywan Layal

机构信息

Department of Pulmonary and Critical Care Medicine, Lebanese University, Faculty of Medical Sciences, Beirut, LBN.

Department of Pulmonary and Critical Care Medicine, Lebanese Hospital Geitaoui - University Medical Center, Beirut, LBN.

出版信息

Cureus. 2023 Jan 31;15(1):e34428. doi: 10.7759/cureus.34428. eCollection 2023 Jan.

DOI:10.7759/cureus.34428
PMID:36874658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9980838/
Abstract

Bronchocutaneous fistula (BCF) is a pathologic communication between the bronchus and the subcutaneous tissue. Its diagnosis is made mainly by chest imaging, and bronchoscopy can help in accurately localizing the fistula. Treatment options include conservative and non-conservative approaches. We report a case of iatrogenic bronchocutaneous fistula occurring after traumatic chest tube placement in an 81-year-old man, treated efficiently with conservative management.

摘要

支气管皮肤瘘(BCF)是支气管与皮下组织之间的病理性通道。其诊断主要依靠胸部影像学检查,支气管镜检查有助于准确确定瘘口位置。治疗方法包括保守治疗和非保守治疗。我们报告一例81岁男性在创伤性胸腔置管后发生医源性支气管皮肤瘘的病例,经保守治疗取得了良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d26/9980838/fc3775125121/cureus-0015-00000034428-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d26/9980838/f89e482fcebe/cureus-0015-00000034428-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d26/9980838/fc3775125121/cureus-0015-00000034428-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d26/9980838/f89e482fcebe/cureus-0015-00000034428-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d26/9980838/fc3775125121/cureus-0015-00000034428-i02.jpg

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本文引用的文献

1
Bronchocutaneous Fistula without Pneumothorax Localized with Methylene Blue and Managed with Endobronchial Valves.无气胸的支气管皮肤瘘经亚甲蓝定位并采用支气管内瓣膜治疗
Ann Am Thorac Soc. 2018 Aug;15(8):992-994. doi: 10.1513/AnnalsATS.201802-081CC.
2
Conservative management of postoperative bronchopleural fistulas.术后支气管胸膜瘘的保守治疗。
J Thorac Cardiovasc Surg. 2013 Sep;146(3):575-9. doi: 10.1016/j.jtcvs.2013.04.023. Epub 2013 Jun 28.
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[Is endoscopic treatment of bronchopleural fistula useful?].[支气管胸膜瘘的内镜治疗有用吗?]
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Occlusion of a broncho-cutaneous fistula with endobronchial one-way valves.使用支气管内单向阀封堵支气管皮肤瘘。
Ann Thorac Surg. 2005 Nov;80(5):1930-2. doi: 10.1016/j.athoracsur.2004.06.037.
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Bronchocutaneous fistula after chest-tube placement: A rare complication of tube thoracostomy.
Heart Lung. 2005 Jul-Aug;34(4):279-81. doi: 10.1016/j.hrtlng.2004.10.006.
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Modified Dumon stent for the treatment of a bronchopleural fistula after pneumonectomy.改良杜蒙支架用于肺切除术后支气管胸膜瘘的治疗。
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Complications of tube thoracostomy in trauma.创伤性胸腔闭式引流的并发症
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Bronchocutaneous fistula associated with mechanical ventilation.与机械通气相关的支气管皮肤瘘
Arch Dis Child. 1993 Nov;69(5 Spec No):525-6. doi: 10.1136/adc.69.5_spec_no.525.
10
[Chemical pleurodesis with iodized talcum in persistent therapy refractory bronchocutaneous fistula].[碘化滑石粉化学性胸膜固定术治疗持续性治疗难治性支气管皮肤瘘]
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