Abstract：
We present a patient with life-threatening airway bleeding from an infectious pulmonary cavity with limited treatment options. Bronchial artery embolization was unsuccessful. Surgery was not feasible due to compromised lung function. Lung transplant was considered but not endorsed. Palliative hemostatic radiotherapy with 20 Gy in 5 fractions was delivered to the site of bleeding as a last resort. Hemoptysis gradually disappeared within a month and did not recur during the 4‑month follow-up. There were no side effects. We highlight the potential of radiotherapy for massive hemoptysis of infectious etiology, especially in cases with exhausted standard treatment options.
摘要：
我们介绍了一名因感染性肺腔而导致危及生命的气道出血的患者，治疗选择有限。支气管动脉栓塞未成功。由于肺功能受损，手术不可行。考虑了肺移植，但未得到认可。作为最后的手段，将5分20Gy的姑息止血放疗输送到出血部位。咯血在一个月内逐渐消失，在4个月随访期间未复发。没有副作用。我们强调了放射疗法治疗感染性病因的大咯血的潜力，特别是在用尽标准治疗方案的情况下。
