Callol L, Navarro V, Galvez A, Boned J, Sevillano C, Gayan R, Rada I, Gomez-Terreros J
Cardiology Department, Spanish Air Force Hospital, Madrid.
Angiology. 1992 Jun;43(6):529-38. doi: 10.1177/000331979204300613.
A new case of pulmonary torsion is reported. Only 15 cases of this rare entity have been published in the literature, all of them either surgically treated short term or resulting in death. Small right-side pneumothorax following diagnostic transthoracic puncture seemed to be the mechanism of production. Because of the absence of acute clinical manifestations, fibroscopy, isotopic perfusion scanning, and hemodynamic and pulmonary angiographic studies were done. The lack of compromise in the pulmonary flow and venous pulmonary return explains the surprisingly good progress (ten months, at present) of the patient.
报告了一例新的肺扭转病例。文献中仅发表过15例这种罕见病例，所有病例要么接受了短期手术治疗，要么导致死亡。诊断性经胸穿刺后出现的右侧小气胸似乎是其产生机制。由于缺乏急性临床表现，因此进行了纤维镜检查、同位素灌注扫描以及血流动力学和肺血管造影研究。肺血流和肺静脉回流未受影响，这解释了该患者（目前已十个月）令人惊讶的良好病情进展。
