Sen Serdar, Sentürk Ekrem, Kacar Firuzan, Inci Ilhan, Polatli Mehmet
Department of Chest Surgery, Faculty of Medicine, University of Adnan Menderes, Aydin, Turkey.
Tuberk Toraks. 2004;52(3):280-4.
Chronic obstructive pulmonary disease (COPD) is characterized with progressive airflow limitation as a result of abnormal inflammation due to inhalation of various noxious gases and particulate dusts. COPD is an increasing important health problem that is parallel to the increasing habit of tobacco smoke. Tracheobronchial infections seem to be the most important cause of exacerbation in COPD, however pneumothorax and pulmonary thromboembolism are also important determinant factors in the attack's severity. Since the tobacco smoking is the common risk factor in both COPD and lung cancer, solitary pulmonary nodules especially in smokers should be carefully examined. Bronchiolitis obliterans organizing pneumonia (BOOP) is an uncommon pulmonary disorder, the clinical spectrum of which is variable. In this case report, a COPD patient manifesting spontaneous pneumothorax and solitary pulmonary nodule has been discussed who was diagnosed as BOOP after surgical procedure.
慢性阻塞性肺疾病(COPD)的特征是由于吸入各种有害气体和微粒粉尘导致异常炎症,进而引起进行性气流受限。COPD是一个日益重要的健康问题,与吸烟习惯的增加呈平行关系。气管支气管感染似乎是COPD病情加重的最重要原因,然而气胸和肺血栓栓塞也是决定发作严重程度的重要因素。由于吸烟是COPD和肺癌的共同危险因素,尤其是吸烟者的孤立性肺结节应仔细检查。闭塞性细支气管炎伴机化性肺炎(BOOP)是一种罕见的肺部疾病,其临床谱具有多样性。在本病例报告中,讨论了一名表现为自发性气胸和孤立性肺结节的COPD患者,该患者在手术后被诊断为BOOP。