Hufschmid P, Keller R, Aeberhard P
Pneumologische Abteilung, Klinik Barmelweid.
Pneumologie. 1992 Dec;46(12):631-3.
We report on a case of spontaneous torsion of the right lung in a 59 years old woman which occurred after an acute pneumonia followed by chronic empyema and progressive dyspnea with marked respiratory disability. Despite extensive diagnostic procedures including bronchoscopy and bronchography the true diagnosis could be established only by thoracotomy performed in order to cure the chronic empyema. The abnormal hilar rigidity by preexisting calcified sarcoidosis of the lymph-nodes is suggested to be a major risk factor for developing lung torsion as it has been emphasized in a few similar reports from the literature. Surgical reposition of the displaced lung is the most effective treatment and can save and restitute lung structure and function even in patients with prolonged course and delayed diagnosis.
我们报告一例59岁女性自发性右肺扭转病例，该病例发生在急性肺炎后，继之以慢性脓胸，并伴有进行性呼吸困难和明显的呼吸功能障碍。尽管进行了包括支气管镜检查和支气管造影在内的广泛诊断程序，但只有通过为治疗慢性脓胸而进行的开胸手术才能确立真正的诊断。正如文献中一些类似报告所强调的，先前存在的淋巴结钙化结节病导致的肺门异常僵硬被认为是发生肺扭转的主要危险因素。对移位的肺进行手术复位是最有效的治疗方法，即使对于病程较长且诊断延迟的患者，也能挽救并恢复肺的结构和功能。
