Matsui H, Mizuno T, Sano M, Kobayashi T
Department of Thoracic Surgery, Seirei Mikatahara Hospital, Hamamatsu, Japan.
Kyobu Geka. 1993 Nov;46(12):1073-6.
Following right upper lobectomy for a pulmonary carcinoma, torsion of right middle lobe occurred. There have been few reports in the literature of pulmonary torsion after lobectomy. A 68-year-old man had a right upper lobectomy for pulmonary carcinoma. On the seventh day after right upper lobectomy, he got high fever. At the same time a roentgenogram of the chest showed complete opacification like ground-glass in the upper lung field. Gradually the opacification increased and hemosputum also appeared. Bronchoscopy revealed 90-degree torsion of the middle lobe. In the treatment with respirator (CV 2000), his clinical conditions improved.
一名68岁男性因肺癌接受了右上肺叶切除术。右上肺叶切除术后第七天，他出现高热。与此同时，胸部X线片显示上肺野呈磨玻璃样完全致密影。随后致密影逐渐加重，同时出现咯血。支气管镜检查发现中叶扭转90度。经使用呼吸机（CV 2000）治疗后，其临床状况有所改善。在文献中，关于肺叶切除术后肺扭转的报道较少。右上肺叶切除术后发生了右中叶扭转。
