在EBUS-TBNA之后的解剖学上遥远的支气管内出血
Krishnapriya S Kumar1, Kritarth Rawat1, Mayank Mishra2
1Pulmonary Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
BMJ case reports
|December 23, 2025
概括
经 bronchial 超声导向的穿 bronchial 针吸收 (EBUS-TBNA) 可能导致罕见的出血并发症. 这一案例突显了EBUS-TBNA期间从遥远的呼吸道出血的不寻常情况,强调了应急准备.
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
- 诊断程序 诊断程序 诊断程序
背景情况:
- 胸腔内膜超声导向的跨支气管针吸收 (EBUS-TBNA) 是中枢和肺部病变的标准诊断工具.
- 虽然EBUS-TBNA在一般情况下是安全的,但会带来诸如出血,肺胸部和感染等并发症的风险.
- 气道出血通常与穿刺部位或损伤本身有关.
研究的目的:
- 在EBUS-TBNA期间报告一种罕见的内支气管出血病例.
- 描述一个不寻常的出血源,从解剖学上远离针插入部位.
- 强调在管理意想不到的EBUS-TBNA并发症时需要紧急协议.
主要方法:
- 一位正在接受EBUS-TBNA治疗的患者为右部质量.
- 在超声波和彩色多普勒指导下,通过后部中气管插入针.
- 观察和管理意想不到的内支气管出血.
主要成果:
- 主动出血源于右上叶支气管的后部段,远离气管穿孔部位.
- 怀疑出血是空气通道通讯的内伤性出血.
- 这种并发症被确定并得到有效的管理,没有升级.
结论:
- 这是EBUS-TBNA期间首次报告的解剖学上遥远的支气管内出血病例.
- 这一事件暗示了潜在的内损伤出血与遥远的呼吸道沟通.
- 强调在EBUS-TBNA期间为罕见的,严重的并发症做好准备至关重要.
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