Greenberg J E, Fischl M A, Berger J R
Chest. 1985 Oct;88(4):638-40. doi: 10.1378/chest.88.4.638.
A 45-year-old man with a history of intravenous drug use presented with acute respiratory distress. A pulsus paradoxus of 42 mm Hg, accessory respiratory muscle use and stridor were present. Examination of the oropharynx revealed multiple 1 to 2 cm purple lesions of the gingiva and hard palate. A purple tumor mass in the posterior pharynx obstructed the view of the larynx. An emergency tracheostomy was performed resulting in hemorrhage into the respiratory tract. Autopsy revealed disseminated Kaposi's sarcoma and large blood clots in the trachea and main stem bronchus. This case illustrates the occurrence of life threatening involvement of the upper aerodigestive tract with Kaposi's sarcoma and hemorrhagic complications resulting from surgical manipulation.
一名有静脉注射毒品史的45岁男性出现急性呼吸窘迫。存在42毫米汞柱的奇脉、辅助呼吸肌使用和喘鸣。口咽检查发现牙龈和硬腭有多个1至2厘米的紫色病变。咽后部的紫色肿瘤块阻塞了喉部视野。进行了紧急气管切开术，导致呼吸道出血。尸检显示弥漫性卡波西肉瘤以及气管和主支气管内有大血块。该病例说明了卡波西肉瘤对上消化道的危及生命的累及以及手术操作导致的出血并发症的发生。
