Department of Radiation Oncology, Zürich University Hospital, Zürich, Switzerland.
Department of Pulmonology, Zürich University Hospital, Zürich, Switzerland.
Strahlenther Onkol. 2023 Sep;199(9):857-861. doi: 10.1007/s00066-023-02110-9. Epub 2023 Jul 13.
We present a patient with life-threatening airway bleeding from an infectious pulmonary cavity with limited treatment options. Bronchial artery embolization was unsuccessful. Surgery was not feasible due to compromised lung function. Lung transplant was considered but not endorsed. Palliative hemostatic radiotherapy with 20 Gy in 5 fractions was delivered to the site of bleeding as a last resort. Hemoptysis gradually disappeared within a month and did not recur during the 4‑month follow-up. There were no side effects. We highlight the potential of radiotherapy for massive hemoptysis of infectious etiology, especially in cases with exhausted standard treatment options.
我们报告了一例患有具有致命威胁的气道出血的患者，该患者的肺部感染性空洞导致治疗选择有限。支气管动脉栓塞治疗失败。由于肺功能受损，手术不可行。考虑进行肺移植，但未得到认可。作为最后手段，对出血部位给予了 20Gy/5 次分割的姑息性止血放疗。咯血在一个月内逐渐消失，在 4 个月的随访中没有复发。没有出现副作用。我们强调了放疗对感染性病因引起的大咯血的潜在作用，尤其是在标准治疗方案已经用尽的情况下。
