麈肺症病患於插管抽吸後併發致命性咳血之病例報告

Fatal Hemoptysis after Suction Through Endotracheal Tube in a Patient with Pneumoconiosis-- A Case Report

一位76歲塵肺症患者於插管後因氣管內抽吸併發大量咳血。緊急支氣管動脈血管攝影顯示疑似動脈瘤存在，雖然進行血管栓塞，但仍持續出血。本病例報告，針對臨床上病患併發大量咳血之評估及處理，進行分析探討。從本病例結果值得注意的是，對有慢性肺部發炎性疾病患者施行氣管內抽吸時，必須小心有引發大量咳血的可能性。

A 76-year-old man, with a history of pneumoconiosis, developed massive hemoptysis after suction through endotracheal tube. Emergent bronchial artery angiography revealed that rupture of an aneurysm was the suspected culprit and coil embolization was performed. However, the bleeding persisted and he eventually succumbed. Here we bring forward the clinical evaluation and management of massive hemoptysis for discussion. It is note worthy that in patients with chronic inflammatory lung diseases, such as pneumoconiosis, massive hemoptysis may develop in the act of trachcobronchial toilet with suction.