Liu Min, Liu Jixiang, Chen Shi, Gao Xiaoyan, Sun Lu, Li Fajiu, Li Chenghong
Department of Pulmonary and Critical Care Medicine, Affiliated Hospital of Jianghan University, Wuhan, China.
National Center for Respiratory Medicine, State Key Laboratory of Respiratory Health and Multimorbidity, National Clinical Research Center for Respiratory Diseases, Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
Front Med (Lausanne). 2024 Sep 26;11:1418105. doi: 10.3389/fmed.2024.1418105. eCollection 2024.
Fibrosing mediastinitis (FM) is a rare and benign fibroproliferative disease that presents with the proliferation of extensive, dense fibrous tissue in the mediastinum. Hemoptysis is a common clinical manifestation of FM. Clinically, most patients exhibit mild to moderate hemoptysis. We report a case of FM complicated with life-threatening massive hemoptysis. The patient was successfully rescued through a combination of bronchoscopic balloon closure, bronchial artery embolization (BAE), and surgical interventions. Although FM is frequently benign, vascular involvement can progress to life-threatening massive hemoptysis and must be treated appropriately.
纤维性纵隔炎（FM）是一种罕见的良性纤维增生性疾病，表现为纵隔内广泛、致密的纤维组织增生。咯血是FM的常见临床表现。临床上，大多数患者表现为轻度至中度咯血。我们报告一例FM并发危及生命的大量咯血的病例。该患者通过支气管镜球囊封堵、支气管动脉栓塞术（BAE）和手术干预相结合的方式成功获救。尽管FM通常为良性，但血管受累可进展为危及生命的大量咯血，必须进行适当治疗。
