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患者女,64岁。因“左肺上叶前段占位”在全麻下行“左肺上叶切除术”;术后第2天出现左胸痛,呼吸困难,左肺呼吸音减弱。胸部X线片示:残余左肺见片状密度增高影,部分呈“磨玻璃”样改变,左侧胸腔少量积液;CT平扫示:左主支气管内见液性密度影,管腔阻塞,左肺下叶呈“磨玻璃”样改变、部分肺实变,其内见空气支气管征。术后第3天临床症状加重,行CT肺动脉造影示:左肺动脉主干呈“鸟嘴状”改变,残
Female patient, 64 years old. Due to “left upper lobe of the anterior occupy ” in general anesthesia down “left lung lobectomy ”; 2 days after the left chest pain, dyspnea, left lung breath sounds weakened. Chest X-ray showed: residual left lung see flaky density increased shadow, some were “ground glass ” kind of change, a small amount of left pleural effusion; CT plain show: see the left main bronchial fluid density shadow tube Cavity obstruction, left lower lobe was “ground glass ” kind of change, some of the lung consolidation, which see the air bronchogram. On the third day after operation, the clinical symptoms were aggravated. CT pulmonary angiography showed that the left pulmonary artery was changed to “beak-like” and the residual