The Annals of Thoracic Surgery ( IF 3.6 ) Pub Date : 2021-01-06 , DOI: 10.1016/j.athoracsur.2020.10.069 Brian Cody Adkinson 1 , Sisir Akkineni 1 , Nestor R Villamizar 2 , Elio E Donna 1 , Lonny B Yarmus 3 , Sixto A Arias 1
A 64-year-old man experienced persistent atelectasis of the right lung after right upper lobectomy. To simultaneously visualize the airways and lung parenchyma in real time, chest computed tomography was performed while pneumatically splinting the lung open via insufflation through the working channel of a bronchoscope. The bronchi were patent but peripheral consolidations within the remaining right lung were visualized, representative of pneumonia. The patient fully recovered with antimicrobial therapy. Computed tomography during bronchoscopic pneumatic lung splinting is an advanced diagnostic for the investigation of persistent atelectasis.
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支气管镜肺夹板治疗肺不张时的计算机断层扫描
一名 64 岁男性在右上肺叶切除术后出现右肺持续性肺不张。为了同时实时显示气道和肺实质,进行了胸部计算机断层扫描,同时通过支气管镜的工作通道通过充气将肺气动夹板打开。支气管是开放的,但在剩余的右肺内可见周围实变,代表肺炎。患者通过抗菌治疗完全康复。支气管镜气动肺夹板术中的计算机断层扫描是调查持续性肺不张的高级诊断方法。