PDF(Pubmed)
Abstract：
Bronchopleural fistula (BPF) is a potentially fatal complication and remains a surgical challenge. Concomitant problems, such as pulmonary infection and respiratory failure, are typically the main contributors to mortality from BPF because of improper contact between the bronchial and pleural cavity. We present the case of a 75-year-old male patient with a history of right upper lobe lung cancer resection who developed complex BPFs. Following appropriate antibiotic therapy and chest tube drainage, we treated the fistulas using endobronchial valve EBV placement and local argon gas spray stimulation. Bronchoscopic treatment is the preferred method for patients who cannot tolerate a second surgery because it can help to maximize their quality of life. Our treatment method may be a useful reference for treating complex BPF.
摘要：
支气管胸膜瘘（BPF）是一种潜在的致命并发症，仍然是手术挑战。伴随的问题，如肺部感染和呼吸衰竭，由于支气管和胸膜腔之间的不适当接触，通常是BPF死亡的主要原因。我们介绍了一名75岁的男性患者，该患者有右上叶肺癌切除术史，并发展了复杂的BPF。在适当的抗生素治疗和胸管引流后，我们使用支气管内瓣膜EBV放置和局部氩气喷雾刺激治疗瘘管。支气管镜治疗是无法耐受第二次手术的患者的首选方法，因为它可以帮助最大限度地提高他们的生活质量。我们的治疗方法可能是治疗复杂BPF的有用参考。
