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首页> 外文期刊>Journal of bronchology: dedicated to the art and science of bronchoscopy and related disciplines >A Malignant Bronchoesophageal Fistula Diagnosed by Bronchoscopy Using Methylene Blue Ingestion
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A Malignant Bronchoesophageal Fistula Diagnosed by Bronchoscopy Using Methylene Blue Ingestion

机译：使用亚甲蓝食管镜检查诊断为恶性支气管食管瘘

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摘要

A 46 year-old man with esophageal carcinoma complicated by a bronchoesophageal fistula presented with recurrent pneumonia in the same lung field. Bronchoscopic examination ruled out an endobronchial lesion. The first bronchoscopy only showed purulent secretions in the lumen of the right B6. A second bronchoscopy using methylene blue ingestion showed the blue dye gushing from the lumen of the right B6, and a bronchoesophageal fistula involving the superior segment of right lower lobe and esophagus was diagnosed. This report shows the limitation of routine bronchoscopy and underscores the value of using methylene blue ingestion during bronchoscopy in patients suspected of having a bronchoesophageal fistula.
机译：一名46岁的食管癌并发支气管食管瘘并在同一肺野出现肺炎。支气管镜检查排除了支气管内病变。第一次支气管镜检查仅显示右侧B6内腔有脓性分泌物。第二次使用亚甲基蓝摄取的支气管镜检查显示蓝色染料从右侧B6腔中涌出，并诊断出包括右下叶和食道上段的支气管食管瘘。该报告显示了常规支气管镜检查的局限性，并强调了在怀疑患有支气管食管瘘管的患者中，在支气管镜检查中使用亚甲基蓝摄取的价值。

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