CSCCM公众平台已开通评论功能，欢迎您阅读后在屏幕下方留下精彩评论，以实现重症医学同道们越来越好的交流。
LobarNecrosisfromPulmonaryEmbolismRamiroFernandez,JonathanM.Tomasko,DaphneEdgren,etalAmJRespirCritCareMed;:-A63-year-oldmalehearttransplantrecipientwithrecurrentlowerextremitydeepveinthrombosis,receivingwarfarin,withchronicallyreducedglomerularfiltrationrate(30ml/min),presentedwithworseningcoughanddyspnea.Laboratorytestingrevealednormalbloodcellcounts,mildlyelevatedC-reactiveprotein,andinternationalnormalizedratioof1.8.Subsequentradiographrevealedamiddlelobecavity(Figure1A).BronchoalveolarfluidculturesrevealedCandidaalbicans,butantifungaltherapyclearedtheorganismafter2weeks.Nevertheless,thecoughpersisted,andthecavityprogressedoverthefollowing6weeks(Figure1B).Giventheuncertainetiologyofthecavityandpersistenceofsymptoms,thoracoscopicmiddlelobectomywasperformed,duringwhichthemajorityofthelobewasfoundtobenecroticandfilledwith～10mlofthickbrownliquefieddebris.Majorandminorfissureswere“哪家医院治疗白癜风最好如何识别白癜风症状