Putnam J B, Dignani C, Mehra R C, Anaisse E J, Morice R C, Libshitz H I
Department of Thoracic and Cardiovascular Surgery, University of Texas M D Anderson Cancer Center, Houston.
Chest. 1994 Oct;106(4):1265-7. doi: 10.1378/chest.106.4.1265.
Necrotizing tracheobronchitis and acute airway obstruction from invasive mycosis developed in a patient who had undergone bone marrow transplantation. The infectious process obstructed the airway and disintegrated the walls of the right mainstem bronchus and pulmonary artery. The airway was cleared using rigid bronchoscopy to extract the detritus. The patient died of hemorrhage after rupture of the pulmonary artery through the right mainstem bronchus.
一名接受过骨髓移植的患者发生了坏死性气管支气管炎和侵袭性真菌病所致的急性气道梗阻。感染过程阻塞了气道,并使右主支气管和肺动脉壁崩解。通过硬质支气管镜清除气道内的碎屑。患者因肺动脉通过右主支气管破裂后出血死亡。