Aoki T, Takagi H, Ando T, Iida K, Ito M
Department of Internal Medicine, Kyouritsu General Hospital, Minato Medical CO-OP, Nagoya.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 May;29(5):632-7.
A case of a bilateral pulmonary hernia of the lungs into the supraclavicular fossae is described. A man, aged 79, with severe chronic asthma and chronic bronchitis due to air pollution, complained of a cervical mass off and on for several years. The herniation was greater on the right side. It could be identified on physical examination by the presence of a soft painless supraclavicular bulge which was exaggerated by strain or cough. Radiologically this herniation could best be identified on lateral cervical roentgenogram. It is said that cervical lung hernia is a rare condition, but in our experience supraclavicular herniation of the lung is not unusual in cases of severe chronic obstructive lung disease.
本文描述了一例双侧肺疝入锁骨上窝的病例。一名79岁男性，因空气污染患有严重的慢性哮喘和慢性支气管炎，数年来断断续续地诉说颈部有肿块。右侧的疝出更为明显。体格检查时，可通过锁骨上柔软无痛的隆起（用力或咳嗽时隆起更明显）来识别。放射学上，这种疝出在颈椎侧位X线片上最易识别。据说颈椎肺疝是一种罕见疾病，但根据我们的经验，在严重慢性阻塞性肺疾病患者中，肺疝入锁骨上窝并不少见。
