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晚期非小细胞肺癌大咯血肺切除术后的长期生存

Long-Term Survival After Pneumonectomy for Major Hemoptysis in Advanced Non-Small Cell Lung Cancer.

作者信息

Matsumiya Hiroki, Taira Akihiro, Yoshimatsu Katsuma, Oyama Rintaro, Mori Masataka, Kanayama Masatoshi, Shinohara Shinji, Takenaka Masaru, Kuroda Koji, Tanaka Fumihiro

机构信息

Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

出版信息

Ann Thorac Surg Short Rep. 2024 May 13;2(4):649-651. doi: 10.1016/j.atssr.2024.04.024. eCollection 2024 Dec.

Abstract

A 65-year-old man was admitted for a tissue biopsy of suspected right middle and lower lobe lung cancer with multiple bone metastases. During hospitalization, he started to cough up blood, which recurred after intubation. The patient experienced asphyxia, which led to cardiopulmonary arrest, but was successfully resuscitated. For complete hemostasis, palliative right pneumonectomy was performed. The decision to perform a pneumonectomy at an early stage contributed to saving the patient's life. By the time of reporting, he had survived for almost 6 years on tyrosine kinase inhibitors administered to control the primary disease.

摘要

一名65岁男性因疑似右肺中叶和下叶肺癌伴多发骨转移入院接受组织活检。住院期间,他开始咯血,插管后再次出现咯血。患者发生窒息,导致心肺骤停,但成功复苏。为实现完全止血,实施了姑息性右肺切除术。早期决定进行肺切除术有助于挽救患者生命。截至报告时,他通过服用酪氨酸激酶抑制剂控制原发疾病,已存活近6年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6144/11708436/43d470e51a88/gr1.jpg

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