Molina M, Ortega N, Valiente B, Vera V
Servicio de Medicina Interna, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia.
An Med Interna. 2001 Mar;18(3):149-51.
We report three HIV-negative patients with spontaneous pneumothorax as clinical manifestation of active tuberculosis acute chest pain and dyspnea was the cause of admission. Chest roentgen grams showed lung collapse and parenchymal cavitation in two of therm and hydropneumothorax in the other. Outcome was favorable with antituberculous drug therapy and placement of chest tube. Although spontaneous pneumothorax is frequent in fibrosis pulmonary tuberculosis, it seldom complicated active tuberculosis in spite of increase of its incidence.
我们报告了3例HIV阴性患者,以自发性气胸为活动性肺结核的临床表现,急性胸痛和呼吸困难是入院原因。胸部X线片显示,其中2例有肺萎陷和实质空洞形成,另1例有液气胸。经抗结核药物治疗和放置胸管后,预后良好。虽然自发性气胸在纤维空洞型肺结核中很常见,但尽管其发病率有所增加,它很少并发活动性肺结核。