Kubo M, Koshino T, Toh Y, Tanaka R, Muramatsu H, Yoshizawa A, Hojo M, Kobayashi K, Kobayashi N, Kudo K, Kabe J, Niino H
Department of Pulmonology, International Medical Center of Japan, Tokyo, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1996 Jun;34(6):710-5.
A 47-year-old woman was admitted to our hospital because of shortness of breath. She had wheezed for a long time before admission. A flow-volume curve showed a pattern consistent with a fixed obstruction of the trachea. CT findings also revealed severe stenosis of the trachea caused by a tumor mass. Tracheal carcinoma was diagnosed after transbronchoscopic biopsy. The patient received chemotherapy and radiation therapy concurrently for about six weeks. Her symptoms resolved, and a second flow-volume curve had a normal pattern. Tracheal carcinoma should be included in the differential diagnosis of airway obstruction. In such cases, the flow-volume curve can be useful as a screening test.
一名47岁女性因呼吸急促入院。入院前她已气喘很长时间。流量-容积曲线显示出与气管固定性梗阻相符的模式。CT检查结果还显示肿瘤块导致气管严重狭窄。经支气管镜活检后诊断为气管癌。患者同时接受了约六周的化疗和放疗。她的症状得到缓解,第二次流量-容积曲线呈正常模式。气管癌应纳入气道梗阻的鉴别诊断。在这种情况下,流量-容积曲线可作为一种筛查试验。