Díaz Rojas F, Córdova Gutiérrez H, Aguirre Gas H
Prensa Med Mex. 1978 Sep-Oct;43(9-10):282-6.
This paper reviewed 8 cases of spontaneous pneumothorax, associated to pulmonary tuberculosis during a period of time of two years at the A.L.M. General Hospital of Toluca, Mex. The diagnosis was confirmed by clinical picture, radiology and bacteriology studies. Six males and two females proceding of the low class; farmers all of them. Their age ranged between 18 and 35 years. Two of the patients showed cavitary lesions, five had difusse fibrosis of the lung. We analized the clinical manifestations and reviewed the pathogenic mechanisms as well the medical and surgical treatment. No deaths ocurred en this series. We concluded that the direct relation between active pulmonary tuberculosis and spontaneous pneumothorax is not clear, but their association in this serie suggested further studies to stablished this. We emphasized the importance of this complication rare in the world literature.
本文回顾了墨西哥托卢卡市A.L.M.综合医院两年内8例与肺结核相关的自发性气胸病例。诊断通过临床表现、放射学和细菌学研究得以证实。6名男性和2名女性来自低收入阶层，均为农民。他们的年龄在18至35岁之间。其中2例患者有空洞性病变，5例有肺部弥漫性纤维化。我们分析了临床表现，回顾了发病机制以及内科和外科治疗方法。该系列病例中无死亡发生。我们得出结论，活动性肺结核与自发性气胸之间的直接关系尚不清楚，但本系列病例中的关联提示需要进一步研究以证实这一点。我们强调了这种并发症在世界文献中罕见的重要性。
