Proctor R J, Griffin J P, Eastridge C E
South Med J. 1977 Sep;70(9):1144-6. doi: 10.1097/00007611-197709000-00044.
A 49-year-old man suffered massive necrosis of the lung subsequent to a pneumococcal lobar pneumonia. Development of massive hemoptysis required emergency lobectomy. The patient is doing well six months after surgery. Pulmonary gangrene is a rare but grave complication of the lobar pneumonia. Both pneumococcal and Klebsiella pneumonias may progress to massive pulmonary gangrene despite antibiotic treatment. Survival seems to depend on the surgical removal of the necrotic tissue, which removes the danger of sudden massive hemoptysis.
一名49岁男性在肺炎球菌性大叶肺炎后发生了肺部大片坏死。大量咯血的出现需要紧急进行肺叶切除术。术后六个月患者情况良好。肺坏疽是大叶肺炎罕见但严重的并发症。尽管进行了抗生素治疗，肺炎球菌性肺炎和克雷伯菌性肺炎都可能进展为大片肺坏疽。存活似乎取决于手术切除坏死组织，这消除了突然大量咯血的危险。
