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首页> 外文期刊>Journal of bronchology & interventional pulmonology >Endobronchial Cryotherapy for a Mycetoma
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Endobronchial Cryotherapy for a Mycetoma

机译：支气管内冷冻治疗骨髓瘤

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Summary: Mycetoma is defined as a fungus ball that fills a preexisting lung cavity, most frequently being of tuberculous or sarcoid etiology. The most frequently isolated fungus is the species of Aspergillus, but other fungi such as Fusarium or Zygomycetes can also be present. Most patients lack symptoms. However, presentation may also be with hemoptysis, which can be massive and life-threatening. We describe the case of a 50-year-old man with a history of prior pulmonary tuberculosis, with recurrent episodes of cough and hemoptysis. He was diagnosed to have mycetoma in the left upper lobe cavity. The mycetoma was extracted through bronchoscopy under general anesthesia using a cryoprobe. Treatment was completed with amphoter-icin B instilled in the cavity and the patient was placed on oral itraconazole. This is the first case report to date in which cryotherapy was used to remove a mycetoma.Key Words: cryotherapy, mycetoma, endobronchial, flexible bronchoscopy, hemoptysis
机译：简介：菌丝瘤定义为充满先前存在的肺腔的真菌球，最常见的病因是结核或结节病。最常分离的真菌是曲霉菌种，但也可以存在其他真菌，例如镰刀菌或合真菌。大多数患者缺乏症状。然而，咯血也可能伴随病情发作，这可能是巨大的并且危及生命。我们描述了一个50岁的男人的案例，该男人有先前的肺结核病史，并反复发作咳嗽和咯血。他被诊断出左上叶腔内有肌瘤。在冷冻条件下，在全身麻醉下通过支气管镜提取肌瘤。用滴入腔内的两性霉素B结束治疗，将患者置于口服伊曲康唑上。这是迄今为止使用冷冻疗法去除结节瘤的第一​​例病例报告。关键词：冷冻疗法，结节瘤，支气管内镜，柔性支气管镜检查，咯血

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