surgical removal of an intrapulmonary aberrant needle report of a case hajime otsuka文献.pdf

该【surgical removal of an intrapulmonary aberrant needle report of a case hajime otsuka文献 】是由【司棋夸克】上传分享，文档一共【4】页，该文档可以免费在线阅读，需要了解更多关于【surgical removal of an intrapulmonary aberrant needle report of a case hajime otsuka文献 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。331CaseReportSurgicalremovalofanintrapulmonaryaberrantneedle:reportofacaseHajimeOtsuka1,TakashiMakino1,YokoAzuma1,SatoshiKoezuka1,KeishiSugino2,YoshinobuHata1,YoichiAnami1,TakashiAzumi1,AkiraIyoda11DivisionofChestSurgery,TohoUniversitySchoolofMedicine,Tokyo,Japan;2DivisionofRespiratoryMedicine,TohoUniversitySchoolofMedicine,Tokyo,JapanCorrespondenceto:,TohoUniversitySchoolofMedicine,6-11-1Omori-nishi,Ota-ku,Tokyo143-8541,:******@-,,:.:http://dx./.,,itwasdifficultthefollowingfourroutes:transcutaneous,transbronchial,tograsptheneedlewithaforcepunderfluoroscopictransesophageal,orhematogenous(1,2).,theaberrantneedlemigratedintrapulmonaryaberrantneedlesmayhavesymptomssuchtotheperipheralareaofthelungbyforcepsmaneuverascough,bloodysputum,chestpain,orrespiratorydistress,(Figure3).Oneweeklater,weperformedavideoassistedasesthatarefoundaccidentally(3).Bronchoscopicremovalmaybeattempted;,ratesintothelungsneedlewaslocatedintheperipheralareaoftherightSa,transbronchially,(3).,,-mm-long,black,rustyneedleCasepresentationwasobserved(Figure4).ThepostoperativecoursewasA44-year-oldwomanwasreferredtoourhospitalwithauneventful,andthepatientisdoingwell12monthsaftercoughandlow--rayshowedathin,-mm-long,metallic-appearingforeignbodyresemblingasewingneedleintherightmiddlelungfield(Figure1).DiscussionChestCTscansshowedanabnormalshadowinthebronchiallumenoftherightB3a(Figure2).,(4).,:transcutaneous,identalaspirationoftheneedleorreceivingtransbronchial,transesophageal,orhematogenous(1,2).,thecausewasdifficulttodetermine;however,theBecausebronchoscopicexaminationrevealedthattherouteseemedtobetransbronchialbecausetheneedlewasludedbygranulationandlocatedinthebronchus(B3a).Patientswithintrapulmonaryawhitishstructure,,bloody?;10(5):E328-E331JournalofThoracicDisease,Vol10,No5May2018E329sputum,chestpain,andrespiratorydistress,butthereare(1-6).Therehavebeenreportedcasesinwhichtheidentally(3).intrapulmonaryaberrantneedlewasleftforalongperiodAnintrapulmonaryaberrantneedleshouldberemovedoftime,plicationssuchasalungabscessorempyemadevelopedfrominflammatorychangesduetoasearlyaspossible,evenifthepatientisasymptomaticforeignbodyreactions(1,3,7).Mostairwayforeignbodieswereretrievedwithbronchoscopy(8,9).Ontheotherhand,becauseitisdifficulttoconfirmbybronchoscopy,intrapulmonaryaberrantneedleswereremovedbysurgeryinmostcases(1-6).esvisible,,inourcase,itwasdifficulttograsptheneedlebyforceps,,bronchoscopicremovaloftheforeignbodyisverydifficult,,,ursandstronglyadherestothesurroundingtissue;additionally,,ifitisimpossibletoextractonlytheneedle,partialresectionofthelungincludingthesurroundingFigure1AchestX-rayshowedathin,14-mm-longforeignbodytissuesorsegmentectomymayberequired(1-4,6).withmetallicdensityresemblingasewingneedle(arrow)(arrow),withacontiguouspulmonaryconsolidation.?;10(5):E328--(C)::-mm-long,,YamamotoG,IchimiyaA,:(I)theaberrantneedleexistsnearthelungsurface;casesoflong-standingintrapulmonaryneedleover30(II);40:421-,andtheneedleitselfhassufficientstrength;,HirotaN,TakadaS,(III)eedle;(6).ChestSurg1993;7:685-,,SensakiK,MaruiT,,,itisnecessaryto1998;12:539-,TairaO,HiraguriS,:;31:55-,TsaiCS,ChengYL,:ThisworkwassupportedinpartbyJSPShemoptysis:?;10(5):E328-E331JournalofThoracicDisease,Vol10,No5May2018E331Sci2007;27:237-;5:108-,MoriS,ShigemitsuK,,Botana-RialM,García-FontánE,-;8:3452-;65:2103-,Fernández-VillarA,RivoJE,,TiwariS,MisraS,-insertionofofairwayforeignbodiesinadults:experiencefrom1987-needles:;9:402-:OtsukaH,MakinoT,AzumaY,KoezukaS,SuginoK,HataY,AnamiY,AzumiT,:;10(5):E328-:.?;10(5):E328-E331