Sagara Y, Ohtsuka T, Hayashi K, Shiraishi Y, Komatsu H, Katayama T
Department of Thoracic Surgery, Tokyo National Chest Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Aug;41(8):1378-82.
A 70-year-old female with hypoglycemia was admitted to our hospital for progressive dyspnea. In chest X-ray film, a mass occupied two thirds of the left hemi-thorax followed by the right shift of the mediastinum. Thoracotomy revealed that a huge tumor grew from the left upper lobe and the diaphragm without invasion. The resected tumor was 2550 g in weight. Histological diagnosis was benign fibrous mesothelioma. A large amount of expectoration started soon after the resection of the tumor. Measurement of protein in tracheal fluid and serum revealed that the event resulted from the reexpansion of the left lung after the huge mass removal. The patient recovered from pulmonary edema followed by steroid administration and respiratory management. We consider that it is useful to measure the protein in tracheal fluid and serum for diagnosis of reexpansion pulmonary edema.
一名70岁低血糖女性因进行性呼吸困难入院。胸部X线片显示，一个肿块占据左半胸的三分之二，随后纵隔右移。开胸手术发现一个巨大肿瘤起源于左肺上叶和膈肌，无浸润。切除的肿瘤重2550克。组织学诊断为良性纤维性间皮瘤。肿瘤切除后不久开始大量咳痰。气管分泌物和血清中的蛋白质测定显示，该情况是由于巨大肿块切除后左肺复张所致。患者在接受类固醇治疗和呼吸管理后从肺水肿中康复。我们认为，测定气管分泌物和血清中的蛋白质对诊断复张性肺水肿很有用。
