Hirashima T, Tamanoi M, Kojima S, Ohhata I, Araki Y, Kawabata S, Kimura K, Hanamoto S, Ochi N, Kikui M
Department of Intensive Care, Habikino Prefectural Hospital, Osaka, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Jan;31(1):79-83.
The patient was a 57-year-old male with long-standing bronchiectasis who developed severe respiratory failure and died in 1991. Autopsy revealed multiple broncholithiasis in both lungs, but no calcified lymph nodes in the hilar region. Since histological examination of the broncholiths showed only stratified structures but no tissue structure, most likely cause was considered to be calcification of mucus in the bronchi. Analysis of the stone components revealed 78% calcium and 22% protein. This patient represents a case of multiple broncholithiasis caused by mucus retention, which is thought to be very rare.
该患者为一名57岁男性，患有长期支气管扩张症，于1991年出现严重呼吸衰竭并死亡。尸检发现双肺有多处支气管结石，但肺门区域无钙化淋巴结。由于对支气管结石的组织学检查仅显示分层结构而无组织结构，最可能的原因被认为是支气管内黏液钙化。结石成分分析显示钙占78%，蛋白质占22%。该患者代表了一例由黏液潴留引起的多发性支气管结石病例，这种情况被认为非常罕见。
