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成功抢救血管支气管瘘所致的大量咯血

Successful Rescue of Massive Hemoptysis Caused by Vascular-Bronchial Fistula.

作者信息

Zhang Xiangwu, Zhou Rongxian, Zhao Guangqiang, Chen Wanling, Huang Yunchao, Ye Lianhua

机构信息

Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University (Yunnan Cancer Hospital), Kunming, China.

School of Rehabilitation Medicine, Yunnan Institute of Economics and Management, Kunming, China.

出版信息

Clin Respir J. 2025 Mar;19(3):e70064. doi: 10.1111/crj.70064.

Abstract

The case reported in this paper is a vascular-bronchial fistula associated with fatal massive hemoptysis. The patient was rescued successfully by experts from a multidisciplinary team. The bronchoscopy physician cleared the accumulated blood in the airway timely and maintained the airway patency, and the anesthesiologist established artificial ventilation quickly; eventually, the thoracic surgeon performed an emergency thoracotomy to control the bleeding. It reflected the significance of multidisciplinary collaborative treatment.

摘要

本文报道的病例是一例伴有致命性大出血的血管支气管瘘。该患者由多学科团队的专家成功救治。支气管镜医师及时清理气道内的积血并维持气道通畅,麻醉医师迅速建立人工通气;最终,胸外科医师进行急诊开胸手术控制出血。这体现了多学科协作治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55da/11867929/f6e0b634a1d2/CRJ-19-e70064-g007.jpg

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