Yamada N, Kamei S, Yasuda F, Isaka N, Yada I, Nakano T
First Department of Internal Medicine, Mie University School of Medicine, Japan.
Chest. 1998 Feb;113(2):555-6. doi: 10.1378/chest.113.2.555.
A patient with clinical features consistent with pulmonary embolism showed no improvement despite therapy with tissue-plasminogen activator and full-dose heparin. Transvenous catheter suction biopsy was successful in establishing an antemortem histologic diagnosis of primary pulmonary artery leiomyosarcoma. Urgent surgical intervention was performed.
一名具有与肺栓塞相符临床特征的患者,尽管接受了组织型纤溶酶原激活剂和全剂量肝素治疗,但仍无改善。经静脉导管抽吸活检成功地在生前确立了原发性肺动脉平滑肌肉瘤的组织学诊断。随后进行了紧急手术干预。