巨型胸膜结核瘤1例  

A case of giant pleural tuberculoma

作　　者：李玉茜[1] 孙昆昆[2] 马晓红 高占成[1] Li Yuqian;Sun Kunkun;Ma Xiaohong;Gao Zhancheng(Department of Respiratory and Critical Care Medicine,Peking University People′s Hospital,Beijing 100044,China;Department of Radiology,Peking University People′s Hospital,Beijing 100044,China;Department of Respiratory Medicine,Shuocheng District People′s Hospital,Shuozhou 036800,China)

机构地区：[1]北京大学人民医院呼吸与危重医学科,北京100044 [2]北京大学人民医院病理科,北京100044 [3]山西省朔州市朔城区人民医院呼吸内科,朔州036800

出　　处：《中华结核和呼吸杂志》2023年第10期1008-1010,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：2020年国家和省级临床重点专科能力建设项目。

摘　　要：本文介绍了1例罕见巨型胸膜结核瘤的病例。患者女,62岁,因间断发热伴咯血入院,胸腹部CT可见右侧胸腔内巨大占位,双侧输卵管表面不平,实验室检查提示血小板、白细胞、血红蛋白减低。胸腔内的占位最终通过活检证实为结核瘤。患者入院前患肺结核,曾自行三联抗结核9年余,造成了肝脏、骨髓等脏器受损,且导致耐药结核产生,为诊治增加了复杂性。We retrospectively analyzed a rare case of giant pleural tuberculoma.The patient was a female,62 years old,admitted to hospital for intermittent fever and hemoptysis.The CT scan of the chest and abdomen showed a mass in the right thoracic cavity,and the uneven surface of the bilateral fallopian tubes.Routine blood tests showed a decrease in platelets,white blood cells,and hemoglobin.The mass in the chest was finally confirmed as a tuberculoma by biopsy.The patient was diagnosed with tuberculosis more than 9 years ago and had been treated with anti-tuberculosis drugs for more than 9 years,which caused damage to the liver,bone marrow and other organs,and led to the drug-resistant tuberculosis,making diagnosis and treatment more complex.

关 键 词：右侧胸腔 脏器受损 结核瘤 耐药结核 咯血 肺结核 占位 血红蛋白 

分 类 号：R52[医药卫生—内科学]