{"title":"右肺腺癌伴胸腔积液的关键处理方法:病例报告","authors":"Liliriawati Ananta Kahar","doi":"10.37275/ijr.v13i3.272","DOIUrl":null,"url":null,"abstract":"Background: Massive pleural effusion occurs in association with malignancy. In Western countries, lung cancer is the leading cause of death, and 8-15% of cancer patients require treatment in an intensive care unit. \nCase presentation: A 56-year-old woman has complained of increased shortness of breath for the past three days. Lung examination from percussion found dullness on the right, resonance on the left, palpation decreased vocal fremitus on the right and auscultation, Diminished or absent breath sounds on the right, and bronchovesicular breath sounds on the left. Chest X-ray examination results with the conclusion of massive pleural effusion dextra. Bronchoscopy was performed under general anesthesia (GA), and a pigtail catheter was inserted. One day after bronchoscopy, a repeat thoracic X-ray was performed with the impression of atelectasis in the right lung, and a bronchoscopy and bronchial toilet were planned. \nConclusion: Pleural effusion with lung tumor and atelectasis are common cases in critical care. The management provided can help in reducing patient morbidity.","PeriodicalId":32894,"journal":{"name":"Indonesian Journal of Rheumatology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Critical Management of Atelectasis ec Adenomous Cell Carcinoma of the Right Lung with Pleural Effusion: A Case Report\",\"authors\":\"Liliriawati Ananta Kahar\",\"doi\":\"10.37275/ijr.v13i3.272\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Massive pleural effusion occurs in association with malignancy. In Western countries, lung cancer is the leading cause of death, and 8-15% of cancer patients require treatment in an intensive care unit. \\nCase presentation: A 56-year-old woman has complained of increased shortness of breath for the past three days. Lung examination from percussion found dullness on the right, resonance on the left, palpation decreased vocal fremitus on the right and auscultation, Diminished or absent breath sounds on the right, and bronchovesicular breath sounds on the left. Chest X-ray examination results with the conclusion of massive pleural effusion dextra. Bronchoscopy was performed under general anesthesia (GA), and a pigtail catheter was inserted. One day after bronchoscopy, a repeat thoracic X-ray was performed with the impression of atelectasis in the right lung, and a bronchoscopy and bronchial toilet were planned. \\nConclusion: Pleural effusion with lung tumor and atelectasis are common cases in critical care. The management provided can help in reducing patient morbidity.\",\"PeriodicalId\":32894,\"journal\":{\"name\":\"Indonesian Journal of Rheumatology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indonesian Journal of Rheumatology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37275/ijr.v13i3.272\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indonesian Journal of Rheumatology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37275/ijr.v13i3.272","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景:大量胸腔积液与恶性肿瘤有关。在西方国家,肺癌是导致死亡的主要原因,8%-15% 的癌症患者需要在重症监护室接受治疗。病例介绍:一名 56 岁的妇女主诉过去三天来气短加剧。肺部检查发现,叩诊右侧肺部钝痛,左侧肺部共鸣,触诊右侧声带游离减少,听诊右侧呼吸音减弱或消失,左侧支气管呼吸音减弱或消失。胸部 X 光检查结果为大量胸腔积液。在全身麻醉(GA)下进行了支气管镜检查,并插入了一根尾纤导管。支气管镜检查后一天,再次进行胸部X光检查,结果显示右肺有肺不张,于是计划进行支气管镜检查和支气管厕所检查。结论胸腔积液伴肺部肿瘤和肺不张是重症监护中的常见病例。所提供的处理方法有助于降低患者的发病率。
Critical Management of Atelectasis ec Adenomous Cell Carcinoma of the Right Lung with Pleural Effusion: A Case Report
Background: Massive pleural effusion occurs in association with malignancy. In Western countries, lung cancer is the leading cause of death, and 8-15% of cancer patients require treatment in an intensive care unit.
Case presentation: A 56-year-old woman has complained of increased shortness of breath for the past three days. Lung examination from percussion found dullness on the right, resonance on the left, palpation decreased vocal fremitus on the right and auscultation, Diminished or absent breath sounds on the right, and bronchovesicular breath sounds on the left. Chest X-ray examination results with the conclusion of massive pleural effusion dextra. Bronchoscopy was performed under general anesthesia (GA), and a pigtail catheter was inserted. One day after bronchoscopy, a repeat thoracic X-ray was performed with the impression of atelectasis in the right lung, and a bronchoscopy and bronchial toilet were planned.
Conclusion: Pleural effusion with lung tumor and atelectasis are common cases in critical care. The management provided can help in reducing patient morbidity.