TUBERCULOUS BRONCHUS SIMULATING APLASIA OF LUNG A CASE REPORT

支氣管結核疑似肺發育不全

張政彥(Cheng-Yen Chang) ； 于俊(C. Yu)

《中華放射線醫學雜誌》 3卷2期 (1978/06) Pp. 127-130

摘要

About 35-40% of pulmonary tuberculosis combined with tracheobronchial tuberculosis and is usually the result of the compression of bronchi by enlarged lymph-node; less commonly tuberculous granulation tissue may accumulate in the mucosa of bronchi and may be identified bronchoscopically. In our recent observation and collections, there is a 25 year-old female with chief complaints of productive cough for one year and shortness of breath for one month. Surgically proved that this is a case of pulmonary tuberculosis with accumulation of granulation tissue and fibrosing stenosis in the left main bronchus, Routine chest film shows an appearance of "aplasia of lung". In this condition, the previous chest film, bronchoscopic examination, bronchography and pulmonary angiography are very important for establishing the accurate diagnosis preoperatively.

並列摘要

一例25歲女性病人，因咳嗽及呼吸短促到榮總求診。例行胸部X光照片發現左肺完全不張，疑是左肺不發育而被收容住院。支氣管攝影像顯示左支氣管根部成小枝狀狹窄。對照15個月前的胸部X光照片始懷疑是結核病變。病人接受左肺切除術，開刀及病理發現證實係肺結核症合併支氣管結核。支氣管結核造成狀似肺發育不全病例甚為少見，支氣管攝影及肺動脈攝影可能提供正確之鑑別診斷。