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先天性支气管憩室自发性破裂伴全肺萎陷和慢性脓胸。

Spontaneous ruptured congenital bronchial diverticulum presenting with total lung collapse and chronic empyema thoracic.

作者信息

Tangpiroontham Padungkiat

机构信息

Department of Cardiothoracic Surgery, Bangkok Hospital, Bangkok, Thailand.

出版信息

Interdiscip Cardiovasc Thorac Surg. 2025 Mar 29;40(4). doi: 10.1093/icvts/ivaf060.

DOI:10.1093/icvts/ivaf060
PMID:40139728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11955233/
Abstract

Spontaneous rupture of a congenital bronchial diverticulum resulting in total lung collapse and chronic empyema thoracis is a rare condition that presents considerable challenges in preoperative diagnosis and perioperative management. Thorough interpretation of imaging studies and bronchoscopy is crucial for effective surgical planning. This article describes a successful surgical intervention employing primary repair in conjunction with decortication.

摘要

先天性支气管憩室自发性破裂导致全肺萎陷和慢性脓胸是一种罕见的疾病，在术前诊断和围手术期管理方面存在相当大的挑战。对影像学检查和支气管镜检查结果进行全面解读对于有效的手术规划至关重要。本文介绍了一种采用一期修复联合纤维板剥脱术的成功手术干预方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd4b/11955233/2956013f71e4/ivaf060f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd4b/11955233/713eb1affae7/ivaf060f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd4b/11955233/2956013f71e4/ivaf060f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd4b/11955233/713eb1affae7/ivaf060f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd4b/11955233/2956013f71e4/ivaf060f2.jpg

相似文献

1
Spontaneous ruptured congenital bronchial diverticulum presenting with total lung collapse and chronic empyema thoracic.先天性支气管憩室自发性破裂伴全肺萎陷和慢性脓胸。
Interdiscip Cardiovasc Thorac Surg. 2025 Mar 29;40(4). doi: 10.1093/icvts/ivaf060.
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Successful use of snare electrocautery via flexible fiberoptic bronchoscopy for removal of an endobronchial hamartoma causing chronic lung atelectasis and mimicking malignancy.经可弯曲纤维支气管镜圈套器电灼成功切除导致慢性肺不张并模拟恶性肿瘤的支气管内错构瘤。
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Open surgery for removal of a failing Gianturco stent with reversed sleeve resection of the right middle and lower lobes.开放性手术取出功能失效的 Gianturco 支架，并对右中下叶进行翻转袖状切除术。
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Video-assisted thoracoscopic sterilization for exacerbation of chronic empyema thoracis.电视辅助胸腔镜手术治疗慢性脓胸加重期的绝育术 （此译文感觉不太符合正常语义逻辑，可能原文表述有误，推测可能是“Video-assisted thoracoscopic surgery for exacerbation of chronic empyema thoracis.”，正确译文为：电视辅助胸腔镜手术治疗慢性脓胸加重期）
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本文引用的文献

1
Tracheal and main bronchial diverticula simulating pneumomediastinum following a motor vehicle collision.机动车碰撞后模拟纵隔气肿的气管及主支气管憩室
Radiol Case Rep. 2021 Aug 26;16(11):3250-3254. doi: 10.1016/j.radcr.2021.08.003. eCollection 2021 Nov.
2
Empyema with fistula successfully treated with a comprehensive approach including bronchial blocker and embolization receiving veno-venous extracorporeal membrane oxygenation.采用包括支气管封堵器和栓塞术在内的综合方法，并接受静脉-静脉体外膜肺氧合治疗，成功治愈了伴有瘘管的脓胸。
Acute Med Surg. 2021 Feb 9;8(1):e621. doi: 10.1002/ams2.621. eCollection 2021 Jan-Dec.
3
Tracheal Diverticulum: Rare Presentation of Known Entity: A Case Report.
气管憩室：已知实体的罕见表现：病例报告。
A A Pract. 2020 Jul;14(9):e01262. doi: 10.1213/XAA.0000000000001262.
4
Barotrauma induced tracheal diverticulum rupture: imaging findings.气压伤所致气管憩室破裂：影像学表现
BMJ Case Rep. 2016 Sep 27;2016:bcr2016217518. doi: 10.1136/bcr-2016-217518.
5
Bronchial diverticula in smokers on thin-section CT.吸烟者 CT 薄层扫描中的支气管憩室
Eur Radiol. 2010 Jan;20(1):88-94. doi: 10.1007/s00330-009-1515-2. Epub 2009 Jul 14.