Schamaun M, von Büren U, Pirozynski W
Schweiz Med Wochenschr. 1980 Feb 9;110(6):223-5.
In the literature only 13 cases of voluminous necrosis of lung tissue, generally referred to as massive pulmonary gangrene, could be found. This disease constitutes an unusual, very severe complication of lobar pneumonia, mostly due to Klebsiella. This type of pneumonia generally affects old or otherwise debilitated persons, quite often chronic alcoholics. It has a high lethality of 20%. Our own observation in a 48-year-old man is presented. He suffered from recurrent massive hemoptysis in relation with a huge cavity of the right lung, filled with necrotic lung tissue. Following right pneumonectomy empyema developed, also due to Klebsiella; it was successfully treated with thoracic fenestration according to Clagett. Knowledge of this severe infrequent complication of pneumonia is necessary since it requires early operative treatment: Out of the 14 patients four were treated medically only and died, while the remaining ten underwent surgery and were all cured.
在文献中仅能找到13例肺组织大量坏死的病例，一般称为大块肺坏疽。这种疾病是大叶性肺炎一种罕见且非常严重的并发症，主要由克雷伯菌引起。此类肺炎通常影响老年人或其他身体虚弱者，相当常见于慢性酗酒者。其致死率高达20%。本文介绍了我们对一名48岁男性患者的观察情况。他因右肺有一个充满坏死肺组织的巨大空洞而反复大量咯血。右肺切除术后发生了同样由克雷伯菌引起的脓胸；根据克拉吉特法进行胸廓开窗术成功治愈。了解这种肺炎严重且罕见的并发症很有必要，因为它需要早期手术治疗：14例患者中4例仅接受药物治疗并死亡，其余10例接受了手术且全部治愈。
