Spitzer S A, Segal I, Lubin E, Nili M, Levy M
Thorax. 1980 Oct;35(10):739-44. doi: 10.1136/thx.35.10.739.
Two patients with an intraluminal carcinoid tumour obstructing the right main bronchus in one, and the left main bronchus in the other, resulting in unilateral increased transradiancy from hypoperfusion of the lung, are described. Resection of the tumours and reconstruction of bronchial continuity was followed by return of perfusion to normal between three and 18 months after the operation. The patient in whom the diagnosis was delayed showed a much slower rate of return of perfusion and a small lung resulted. The finding of increased transradiancy of lung even in an asymptomatic patient should be an indication for bronchoscopy.
本文描述了两名患者,其中一名患者腔内类癌肿瘤阻塞右主支气管,另一名患者阻塞左主支气管,导致一侧肺灌注不足,出现单侧透亮度增加。肿瘤切除及支气管连续性重建后,术后3至18个月肺灌注恢复正常。诊断延误的患者肺灌注恢复速度慢得多,导致肺体积缩小。即使是无症状患者,若发现肺透亮度增加,也应进行支气管镜检查。