Pleural Pseudocyst Complicated with Latrogenic Infection and Brochopleural Fistula

肋膜假性囊腫併發醫源性感染及支氣管肋膜瘻管

陳華明(Hua-Ming Chen) ； 施振甫(Jen-Fu Shih) ； 黃炳勳(Biing-Shiun Huang) ； 彭瑞鵬(Reury-Perng Perng)

《胸腔醫學》 19卷1期 (2004/02) Pp. 60-65

摘要

肋膜假性囊腫為一較少見之肋膜增厚病變，其成因乃由於肋膜發炎、纖維化增厚之故。病灶旁之肺實質常因增厚之臟層肋膜而受到侷限，無法完全擴張，形成trapped lung，而所殘留的肋膜空間內則形成一個假性囊腫，且常含有定量之無菌性肋膜積液。在胸部X光表現上，肋膜假性囊腫常呈現為一併有增厚肋膜之肋膜積液。病患常無臨床症狀而不須特別處置。抽取肋膜假性囊腫內積液，不僅無助於減少積液量且可能造成醫源性感染，引發嚴重併發症。本文報告一例血胸後肋膜假性囊腫病患，因不當抽取引流後，併發膿胸及支氣管肋膜瘻管之病例，並對相關文獻作一回顧。

關鍵字

肋膜假性囊腫 ； 醫源性感染 ； 膿胸 ； 支氣管肋膜瘻管

並列摘要

The pleural pseudocyst is an uncommon entity characterized by pleural peel formation. The lung parenchyma adjacent to the pseudocyst is restricted by thickened visceral pleura. As a result, the lung cannot fully expand during inspiration and gets “trapped”. There is frequently a fixed amount of sterile pleural effusion within the pseudocyst, but increase the risk of iatrogenic infection. Herein, we report a patient who suffered from complications of empyema and bronchopleural fistula after chest tapping and drainage of the pleural pseudocyst.

並列關鍵字

pleural pseudocyst ； trapped lung ； iatrogenic infection ； empyema ； bronchopleural fistula