原发性肺癌经支气管镜检查并发肺脓肿手术治愈1例。

Q4 Medicine
Kenji Kimura, Norimasa Itou, Masahiro Yoshimura, Ichinosuke Kuza
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引用次数: 0

摘要

患者为一名72岁的男性。胸部计算机断层扫描(CT)显示右下叶有肿块,因此他接受了支气管镜检查。病理表现为鳞状细胞癌。检查后第二天他就出院了,但七天后因为发烧住进了医院。胸部CT扫描显示右下叶肿块处有肺脓肿,因此他被紧急送往医院。入院后开始他唑巴坦加哌哌酸13.5 g/天治疗,但改善甚微,决定行手术治疗,入院5天后经开胸行右下肺叶切除术。术后过程顺利,患者于术后第19天出院。在确认抗菌药物无效后立即进行了手术,没有出现任何并发症,治愈了患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Primary Lung Cancer that Developed Lung Abscess after Bronchoscopy and Was Cured by Surgery:Report of a Case].

The patient was a 72-year-old man. Chest computed tomography (CT) scan revealed a mass in the right lower lobe, so he underwent bronchoscopy. The pathological findings revealed squamous cell carcinoma. He was discharged the day after the examination, but was admitted to the hospital seven days later for fever. Chest CT scan showed a lung abscess at the site of the mass in the right lower lobe, so he was admitted to the hospital on an emergency basis. After admission, treatment with tazobactam and piperacin 13.5 g/day was started, but there was little improvement, so the decision was made to perform surgery, and a right lower lobectomy was performed via thoracotomy five days after the admission. The postoperative course was uneventful, and the patient was discharged on the 19th day after surgery. As the surgery was immediately performed after confirming that antimicrobial agents were ineffective, the patient was cured without any complications.

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