关键词: electromagnetic navigation fiberoptic flexible bronchoscopy lung biopsy pneumothorax ptx pocus (point of care ultrasound) pulmonary critical care pulmonary disease

来  源:   DOI:10.7759/cureus.15339   PDF(Pubmed)

Abstract:
We present a case of a 65-year-old female with a prior history of B-cell lymphoma with new CT chest findings of a nodule requiring an electromagnetic navigational bronchoscopy with transbronchial biopsies. Post-bronchoscopy, the patient complained of dyspnea and left scapular pain despite two normal anterior-posterior chest X-rays. Point-of-care ultrasound of the lung demonstrated a lack of lung sliding, which was confirmed via a right lateral decubitus chest X-ray. This case illustrates the utility and superiority of lung point-of-care ultrasound while highlighting the limitations of conventional imaging modalities in a post-bronchoscopy evaluation.
摘要:
我们介绍了一例65岁的女性,有B细胞淋巴瘤病史,有新的CT胸部结节发现,需要进行电磁导航支气管镜检查并进行经支气管活检。支气管镜检查后,患者主诉呼吸困难和左肩胛骨疼痛,尽管进行了两次正常的前后胸部X线检查.肺部的护理点超声显示缺乏肺部滑动,通过右侧卧位胸部X光检查证实。此案例说明了肺部护理点超声的实用性和优越性,同时突出了常规成像方式在支气管镜检查后评估中的局限性。
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