Chow B J, McKim D A, Shennib H, Dales R E
Department of Medicine and Respirology, University of Ottawa, Ontario, Canada.
Chest. 1997 Nov 5;112(5):1438-41. doi: 10.1378/chest.112.5.1438.
Superior vena cava (SVC) obstruction most often is a complication of malignant tumors such as lung cancer or lymphoma. The common use of long-term indwelling central venous catheters also has added to the prevalence of SVC obstruction. This report describes the first case of SVC obstruction in a patient with cystic fibrosis due to extrinsic compression from benign reactive mediastinal lymphadenopathy. Although in these circumstances intravascular thrombosis should be ruled out, extrinsic compression from mediastinal lymphadenopathy should be considered.
上腔静脉（SVC）梗阻通常是肺癌或淋巴瘤等恶性肿瘤的并发症。长期留置中心静脉导管的普遍使用也增加了SVC梗阻的发生率。本报告描述了首例因良性反应性纵隔淋巴结病的外在压迫导致囊性纤维化患者发生SVC梗阻的病例。尽管在这些情况下应排除血管内血栓形成，但也应考虑纵隔淋巴结病的外在压迫。
