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成人社区获得性坏死性肺炎合并支气管胸膜瘘一例病因分析 （你提供的原文“Due to in an Adult”这里有缺失内容，我按照完整准确的翻译思路进行了补充，若实际不是这样，请根据正确内容调整）

Community-Acquired Necrotizing Pneumonia with Bronchopleural Fistulas Due to in an Adult.

作者信息

Li Pei-Jun, Yu Ming-Jing, Liu Dan

机构信息

Department of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People's Republic of China.

Department of Institute of Respiratory Health, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People's Republic of China.

出版信息

Infect Drug Resist. 2025 Apr 12;18:1831-1836. doi: 10.2147/IDR.S511714. eCollection 2025.

DOI:10.2147/IDR.S511714
PMID:40242389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12002321/
Abstract

BACKGROUND

Necrotizing pneumonia with subsequent bronchopleural fistula attributable to infection has not been reported in adults.

CASE PRESENTATION

We here firstly report a case of 23-year-old female with severe community-acquired multiple lung abscesses due to in the left lower lung, which merged and ruptured, further leading to the development of bronchopleural fistulas. After adequate anti-infective treatment and repairing the fistulas under thoracoscopy, the pulmonary infection was under control, and the fistulas were closed. A follow-up chest CT demonstrated the complete resolution of lung abscesses.

CONCLUSION

This case shows the possibility that necrotizing pneumonia due to infection can lead to bronchopleural fistula in adults. Early diagnosis and management of bronchopleural fistula are crucial for improving patients outcomes.

摘要

背景

成人中因感染导致坏死性肺炎并继发支气管胸膜瘘的情况尚未见报道。

病例报告

我们在此首次报告一例23岁女性，因[此处原文缺失具体病因]导致左肺下叶严重社区获得性多发性肺脓肿，脓肿融合破裂，进而发展为支气管胸膜瘘。经过充分抗感染治疗并在胸腔镜下修复瘘口后，肺部感染得到控制，瘘口闭合。胸部CT随访显示肺脓肿完全消散。

结论

该病例表明感染所致坏死性肺炎在成人中可导致支气管胸膜瘘。早期诊断和处理支气管胸膜瘘对于改善患者预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/468eafcb3e96/IDR-18-1831-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/87845ad6d94e/IDR-18-1831-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/efa2ab8a76af/IDR-18-1831-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/12d0f4bff6e1/IDR-18-1831-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/098a3c4dfea9/IDR-18-1831-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/468eafcb3e96/IDR-18-1831-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/87845ad6d94e/IDR-18-1831-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/efa2ab8a76af/IDR-18-1831-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/12d0f4bff6e1/IDR-18-1831-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/098a3c4dfea9/IDR-18-1831-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c392/12002321/468eafcb3e96/IDR-18-1831-g0005.jpg

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Necrotizing Pneumonia: A Practical Guide for the Clinician.坏死性肺炎：临床医生实用指南
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Bronchoscopic interventions for bronchopleural fistulas.支气管镜介入治疗支气管胸膜瘘。
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