O'Keefe P A, Goldstraw P
Royal Brompton National Heart and Lung Hospital, London.
Thorax. 1993 Dec;48(12):1278-9. doi: 10.1136/thx.48.12.1278.
A 77 year old man with an eight month history of polymyalgia rheumatica treated by steroids underwent left lower lobectomy for a non-small cell carcinoma. Following discharge he developed a pneumothorax, empyema, septicaemia, and acute renal failure. Reinvestigation and reoperation showed this to be caused by a non-malignant non-traumatic direct gastropleural fistula.
一名77岁男性,有8个月风湿性多肌痛病史,接受类固醇治疗,因非小细胞肺癌接受了左下叶切除术。出院后,他出现了气胸、脓胸、败血症和急性肾衰竭。再次检查和再次手术显示,这是由非恶性非创伤性直接胃胸膜瘘引起的。