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1例坏死性肺炎合并液气胸

A Case of Necrotizing Pneumonia Complicated by Hydropneumothorax.

作者信息

Alawad Asim, Mohamed Abdeen Muhnad, Fadul Khalid Y, Elgassim Moayad A, Ahmed Shahda, Elgassim Mohamed

机构信息

Emergency Medicine, Hamad Medical Corporation, Doha, QAT.

Medical Education, Hamad General Hospital, Doha, QAT.

出版信息

Cureus. 2024 Apr 7;16(4):e57775. doi: 10.7759/cureus.57775. eCollection 2024 Apr.

DOI:10.7759/cureus.57775
PMID:38716008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11076000/
Abstract

We present a case of a 58-year-old man who had asthma and developed necrotizing pneumonia (NP). The Computed Tomography (CT) scan of his chest showed cavitating consolidation with hydropneumothorax. Despite chest tube insertion and antibiotics, the patient did not improve. Therefore, surgical intervention was considered, and he underwent a right posterior-lateral thoracotomy, with middle lobe lobectomy, and decortication. As a result, the patient's condition started to improve, and he was discharged in good health.

摘要

我们报告一例58岁男性患者,他患有哮喘并发展为坏死性肺炎(NP)。其胸部计算机断层扫描(CT)显示有空洞性实变并伴有液气胸。尽管插入了胸管并使用了抗生素,患者病情仍未改善。因此,考虑进行手术干预,他接受了右后外侧开胸手术,包括中叶肺叶切除术和纤维板剥脱术。结果,患者病情开始好转,并健康出院。

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本文引用的文献

1
Necrotising pneumonia: A pneumonia that may need surgical intervention.
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Necrotizing Pneumonia and Its Complications in Children.儿童坏死性肺炎及其并发症
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Severe anaerobic necrotizing pneumonia complicated by pyopneumothorax and anaerobic monoarthritis due to Peptostreptococcus magnus.
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