致命的呼吸道阻塞由于冷藏活检后的内支气管出血:一个病例报告
Muhammad Nadzir1, Isnin Anang Marhana1, Farah Fatmawati1
1Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Airlangga University - Dr. Soetomo General Academic Hospital, Jl. Mayjen Prof. Dr. Moesto po No. 6-8, Surabaya 60286, Indonesia.
Journal of surgical case reports
|April 21, 2025
概括
低温活检为更好的肺瘤诊断提供了更大的组织样本,但存在出血风险. 仔细监测患者和及时干预对于管理严重出血等潜在并发症至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 医疗程序 医疗程序
背景情况:
- 低温活检可以进行更大的组织提取,并提高肺瘤的诊断准确度.
- 然而,冷活检与活检部位出血的风险增加有关.
研究的目的:
- 报告一个肺瘤患者在冷藏活检后大量出血的病例.
- 强调加强监测和血流控制措施在冷活检期间和之后的重要性.
主要方法:
- 一名肺癌患者接受了冷活检.
- 程序后的即时管理包括吸和冷盐水的管理.
- 由于患者的脱,随后进行了重新支气管镜检查.
主要成果:
- 最初的出血是通过吸血和冷盐水控制的.
- 手术后不久发生了大规模的再出血,扩散到两个主要支气管.
- 患者经历了脱和心脏骤停,需要重症监护室管理.
结论:
- 这一案例凸显了在冷活检期间控制出血的专业培训和高度警的迫切需要.
- 密集的患者监测对于早期发现和治疗并发症至关重要,特别是在患有出血风险因素的患者中.
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