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介质炎作为跨支气管淋巴结活检的并发症:一个病例报告

Jacek Krawczyk¹, Iwona Gross-Sondej², Jerzy Soja²

¹2nd Department of Internal Medicine, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland. jkc@op.pl.

Folia medica Cracoviensia

|December 17, 2025

概括

实时内支气管超声波引导的跨支气管针吸收 (RT-EBUS-TBNA) 通常是诊断肺部疾病的安全方法. 然而,患有糖尿病或免疫抑制等危险因素的患者面临感染并发症的更高风险,例如性中炎.

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
医学诊断医学诊断医学诊断

背景情况:

支气管纤维透视与实时内支气管超声波引导的跨支气管针吸收 (RT-EBUS-TBNA) 是呼吸系统疾病,特别是肺部瘤的标准诊断工具.
这种程序通常被认为是安全的和广泛可用的.
感染性并发症,虽然很少见,但可能发生,特别是在患有易感因素的患者中.

研究的目的:

在RT-EBUS-TBNA之后报告一种性中炎病例.
强调患有糖尿病和免疫抑制 (例如慢性皮质类固醇使用) 等危险因素的患者感染并发症的风险增加.
审查有关EBUS引导的横支气管活检相关的并发症发生率的文献,包括传染性事件.

主要方法:

案例报告的呈现方式.
在EBUS引导的横支气管活检后出现的并发症的文献综述.

主要成果:

一例发生性中炎的病例是RT-EBUS-TBNA的并发症.
患有糖尿病和免疫抑制的患者患有感染并发症的风险更高.
文献审查表明,EBUS引导的横支气管活检后的并发症,包括传染性事件,很少发生.

结论:

虽然很少见,但RT-EBUS-TBNA后可能会出现性中炎等传染性并发症,特别是在风险患者中.
RT-EBUS-TBNA仍然是肺部疾病的安全和推的诊断程序.
仔细的患者选择和监测对于减轻风险至关重要.

关键词:

经过EBUS支气管镜检查的并发症在EBUS中出现并发症.通过EBUS引导的横支气管活检.

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