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支气管癌并发心包积气

[Pneumopericardium complicating bronchial cancer].

作者信息

Letanche G, Souquet P J, Pabion C, Bernard J P, Touraine R

出版信息

Rev Mal Respir. 1986;3(5):277-80.

PMID:3809701
Abstract

We report an observation of pneumopericardium occurring, without iatrogenic trauma in the preceding days, during the course of an epidermoid bronchial carcinoma, treated for a year by radio- and chemotherapy. The pneumopericardium produced a very attenuated clinical picture and was resorbed without incidence. But the patient died a few weeks after an overwhelming haemoptysis. The radiological picture is very characteristic. The differential diagnosis is above all that of a pneumo-mediastinum. But in the latter case, the clear zone exceeds the level of the great vessels and subcutaneous cervical emphysema in generally very clear both clinically and radiologically.

摘要

我们报告一例在表皮样支气管癌病程中出现的非医源性创伤性气心包病例,该患者接受了一年的放疗和化疗。气心包临床表现非常轻微,且自行吸收,未发生意外情况。但患者在一次大量咯血后数周死亡。影像学表现非常典型。鉴别诊断首先是纵隔气肿。但在后一种情况下,透亮区超过大血管水平,颈部皮下气肿在临床和影像学上通常都很明显。

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