气管旁透亮区作为心肺移植术后气管破裂的征象

Paratracheal radiolucency as a sign of tracheal disruption after heart-lung transplantation.

作者信息

Schulman L L, Austin J H

机构信息

Department of Medicine, Columbia University, College of Physicians & Surgeons, New York, NY 10032.

出版信息

J Thorac Imaging. 1994 Spring;9(2):123-5. doi: 10.1097/00005382-199421000-00015.

DOI:10.1097/00005382-199421000-00015

PMID:8207778

Abstract

Focal mediastinal radiolucency to the immediate left of the distal part of the trachea was evident on a frontal chest radiograph 12 days after heart-lung transplantation in a 31-year-old woman. Bronchoscopy revealed ulcerating necrosis immediately distal to the tracheal anastomosis. We conclude that chest radiography may show focal mediastinal air as the first sign of anastomotic necrosis of a major airway after lung transplantation.

摘要

一名31岁女性在心肺移植术后12天的胸部正位X线片上，可见气管远端紧邻左侧的纵隔局部透亮区。支气管镜检查显示气管吻合口远端即刻出现溃疡性坏死。我们得出结论，胸部X线检查可能显示纵隔局部积气，作为肺移植后主气道吻合口坏死的首个征象。