Samovsky Maria, Loberant Norman, Lemer Joseph, Altman Edward
Department of Radiology, Western Galilee Hospital, Nahariya, Israel.
Clin Imaging. 2005 Nov-Dec;29(6):437-8. doi: 10.1016/j.clinimag.2005.07.005.
Tension pyopneumothorax is a rare complication of pneumonia and subpleural abscess eroding into the pleural space. We present a case of tension pyopneumothorax in a drug addict. Successful treatment consisted of pleural drainage and parenteral antibiotics. The presence of an air-fluid level accompanying tension pneumothorax on chest radiograph should alert the physician to the possibility of this emergency condition.
张力性脓性气胸是肺炎和胸膜下脓肿侵蚀进入胸膜腔的一种罕见并发症。我们报告一例吸毒者发生张力性脓性气胸的病例。成功的治疗包括胸腔引流和胃肠外抗生素治疗。胸部X线片上出现伴有张力性气胸的气液平面应提醒医生注意这种紧急情况的可能性。