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经内镜超声治疗的急性高碳酸血症性呼吸衰竭的罕见病因。

An uncommon cause of acute hypercapnic respiratory failure managed with endoscopic ultrasound.

作者信息

Raj Vishal, Ahuja Aman, Gupta Monika, Chaudhry Dhruva, Singh Pawan Kumar

机构信息

Department of Pulmonary and Critical Care Medicine, Pt B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.

Department of Pathology, Pt B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.

出版信息

Lung India. 2025 Mar 1;42(2):151-154. doi: 10.4103/lungindia.lungindia_423_24. Epub 2025 Feb 27.

DOI:10.4103/lungindia.lungindia_423_24
PMID:40013636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11952737/
Abstract

Mediastinal cysts can occasionally cause severe respiratory symptoms. A 60-year-old female smoker presented with acute hypercapnic respiratory failure. Imaging revealed a posterior mediastinal cyst compressing the trachea. Bronchoscopic ultrasound-guided fine needle aspiration (EUS-B FNA) provided both diagnostic clarity and symptomatic relief. This case underscores the importance of considering mediastinal cysts in differential diagnoses of acute respiratory distress and demonstrates the efficacy of EUS-B FNA for both diagnosis and immediate therapeutic intervention.

摘要

纵隔囊肿偶尔可引起严重的呼吸道症状。一名60岁的女性吸烟者出现急性高碳酸血症性呼吸衰竭。影像学检查显示一个后纵隔囊肿压迫气管。支气管镜超声引导下细针穿刺抽吸术（EUS-B FNA）既明确了诊断，又缓解了症状。该病例强调了在急性呼吸窘迫的鉴别诊断中考虑纵隔囊肿的重要性，并证明了EUS-B FNA在诊断和即时治疗干预方面的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31f2/11952737/03e593a122f2/LI-42-151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31f2/11952737/03e593a122f2/LI-42-151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31f2/11952737/03e593a122f2/LI-42-151-g001.jpg

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本文引用的文献

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Approach to Imaging of Mediastinal Masses.纵隔肿块的影像学检查方法
Diagnostics (Basel). 2023 Oct 11;13(20):3171. doi: 10.3390/diagnostics13203171.
2
Imaging modalities (MRI, CT, PET/CT), indications, differential diagnosis and imaging characteristics of cystic mediastinal masses: a review.囊性纵隔肿块的成像方式（MRI、CT、PET/CT）、适应症、鉴别诊断及影像特征：综述
Mediastinum. 2022 Dec 26;7:3. doi: 10.21037/med-22-31. eCollection 2023.
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EUS‑FNA combined with an intracapsular injection of antibiotics and ethanol for posterior mediastinal cyst: A case report.
超声内镜引导下细针穿刺活检联合囊内注射抗生素和乙醇治疗后纵隔囊肿：一例报告
Exp Ther Med. 2022 Sep 27;24(5):692. doi: 10.3892/etm.2022.11628. eCollection 2022 Nov.
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Diagnosis of mediastinal cysts: the role and safety of EUS-FNA with 19-gauge needle: a retrospective cohort study.纵隔囊肿的诊断：19G穿刺针内镜超声引导下细针穿刺活检的作用及安全性：一项回顾性队列研究
J Thorac Dis. 2022 Sep;14(9):3544-3551. doi: 10.21037/jtd-22-1105.
5
Role of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration in the Diagnosis and Management of Mediastinal Cyst.支气管内超声引导下经支气管针吸活检在纵隔囊肿诊断与管理中的作用
J Bronchology Interv Pulmonol. 2020 Apr;27(2):142-146. doi: 10.1097/LBR.0000000000000640.
6
Application of endoscopic ultrasound-guided-fine needle aspiration combined with cyst fluid analysis for the diagnosis of mediastinal cystic lesions.内镜超声引导下细针抽吸术联合囊液分析在纵隔囊性病变诊断中的应用。
Thorac Cancer. 2019 Feb;10(2):156-162. doi: 10.1111/1759-7714.12924. Epub 2018 Nov 27.
7
The role and safety of endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis and management of infected bronchogenic mediastinal cysts in adults.经支气管镜超声引导下经支气管针吸活检术在成人感染性支气管源性纵隔囊肿诊断和治疗中的作用及安全性
Respir Med Case Rep. 2018 Apr 4;24:46-49. doi: 10.1016/j.rmcr.2018.04.002. eCollection 2018.
8
Role of endobronchial ultrasound in the diagnosis of bronchogenic cysts.支气管内超声在支气管源性囊肿诊断中的作用。
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The utility and the safety of EUS-guided FNA in the evaluation of duplication cysts.超声内镜引导下细针穿刺抽吸术在重复囊肿评估中的实用性和安全性。
Gastrointest Endosc. 2005 Oct;62(4):575-80. doi: 10.1016/j.gie.2005.06.014.