鱼刺穿食管过纵隔致肺坏死患者1例成功获救

2013-07-27 通讯员倪静 驻地记者程守勤 中国医学论坛报

  一根小小的鱼刺竟然导致患者右上肺感染坏死,患者不得不接受切肺手术。近日,南京市胸科医院胸心外科主任刘锋等成功为患者取出了“肇事元凶”——1根穿过食管奇迹入肺的3 cm长的鱼刺。目前,患者恢复顺利。   患者为60岁男性, 3周前因反复咳嗽、咳痰中带血,在当地医院就诊时拍摄胸部CT片示右肺块影,内见空洞伴气液平,因不能明确诊断转入南京市胸科医院胸心外科进一步治疗

一鱼刺穿食管过纵隔致肺坏死患者获救

  一根小小的鱼刺竟然导致患者右上肺感染坏死,患者不得不接受切肺手术。近日,南京市胸科医院胸心外科主任刘锋等成功为患者取出了“肇事元凶”——1根穿过食管奇迹入肺的3 cm长的鱼刺。目前,患者恢复顺利。

  患者为60岁男性, 3周前因反复咳嗽、咳痰中带血,在当地医院就诊时拍摄胸部CT片示右肺块影,内见空洞伴气液平,因不能明确诊断转入南京市胸科医院胸心外科进一步治疗。在进一步检查过程中,刘锋发现患者右上肺病灶中有一条状高密度影,判断可能是一个长约3~4 cm左右细长形状的异物。由于患者肺部脓肿已经比较严重,右上肺已有部分感染坏死,且感染坏死的部分还在不断扩大。为控制感染,必须尽快手术取出异物,切除感染坏死的右上肺,以挽救患者的生命。

  经过仔细地追问病史,患者回忆1月前自己吃鱼时,不慎吞入鱼刺,喉部约痛了1周后好转。据此,刘锋高度怀疑右上肺内的异物可能为鱼刺。手术中发现,患者右上肺因感染大部分已经坏死、实变,和纵隔、食管粘连致密,经过仔细地解剖分离,手术顺利将右上肺叶切除,剖开右上肺果然发现脓腔内有一根3 cm长的鱼刺。 

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    2015-12-07 cmn

    小心鱼刺

    0

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    2014-03-25 hukaixun
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    2013-07-29 millore
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    2013-07-29 zhouqu_8

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