Neff T A, Buchanan B D
Am Rev Respir Dis. 1975 Apr;111(4):543-8. doi: 10.1164/arrd.1975.111.4.543.
Three cases of delayed development of pleural effusion under tension, 20 to 30 years after therapeutic pneumothorax, are described. A sudden increase in dyspnea and the radiographic findings of increasing opacity, a change from hypovolemia to hypervolemia of the hemithorax, and mediastinal shift should alert one to this delayed complication. Careful thoracentesis to decompress intrapleural tension effusion can relieve the dyspnea and improve hypoxemia. The potential risks of creating excessive negative intrapleural pressure are presented.
本文描述了3例治疗性气胸20至30年后出现迟发性张力性胸腔积液的病例。呼吸困难突然加重，影像学表现为opacity增加，患侧胸腔从血容量减少转变为血容量增加，以及纵隔移位，这些应提醒医生注意这种迟发性并发症。仔细进行胸腔穿刺以减压胸腔内张力性积液可缓解呼吸困难并改善低氧血症。文中还介绍了产生过度胸腔内负压的潜在风险。 （注：原文中“opacity”可能有误，根据语境推测可能是“opacity”，意为“混浊度”，但不确定，按照原文翻译了。）
