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Localized Pulmonary Hemorrhage Associated With Massive Hemoptysis: Report of a Case

局部肺出血併大量咳血:一病例報告

摘要


大量咳血是一種少見但卻緊急而且需要立即加以處理的狀況。我們報告的是一位48歲男性病患,主述大量咳血的案例。住院後電腦斷層顯示在右中肺葉有局部浸潤現象。支氣管鏡檢因為大量咳血被迫中止,轉而安排血管攝影嘗試作支氣管動脈栓塞,仍告無效。最後尋求外科處置,順利移除右中肺葉,病理診斷為局部肺出血案例。

關鍵字

咳血;肺出血

並列摘要


Massive hemoptysis is a rare but emergent condition which requires prompt attention. In this case study, a 48-year-old man presented with massive hemoptysis. Chest computerized tomography obtained after admission demonstrated focal density in the right-middle lobe and presence of nodulointerstitial infiltrate in both lungs. Active bleeding limited fibrobronchoscopy. Therapeutic bronchial artery embolization was attempted prior to surgery. An uneventful resection of the right-middle lobe was performed and the pathological diagnosis was localized pulmonary hemorrhage.

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