Jain Preeti, Goswami Kavita
Department of Obstetrics and Gynaecology, University Hospital Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX, UK.
J Med Case Rep. 2009 Oct 21;3:81. doi: 10.1186/1752-1947-3-81.
Spontaneous recurrent pneumothorax during pregnancy is a rare condition. Few cases have been reported previously in the literature. There is no universal guideline for the management of this condition. Treatment options include conservative management with intercostal drain and surgical management in the form of thoracotomy or video-assisted thoracoscopy.
We report a case of recurrent spontaneous pneumothorax in a 38-year-old Afro-Caribbean woman on her third trimester of pregnancy. The disease was managed with the insertion of an intercostal drain on three occasions, which was then followed by surgical intervention immediately after pregnancy.
The diagnosis of pneumothorax should be considered in the differential diagnosis of pregnant women experiencing chest pain and dyspnoea. No adverse maternal or foetal outcome has been reported in well-managed cases. Management involves good coordination between the obstetric and surgical teams.
妊娠期自发性复发性气胸是一种罕见疾病。此前文献中报道的病例较少。对于这种疾病的管理尚无通用指南。治疗选择包括采用肋间引流的保守治疗以及开胸手术或电视辅助胸腔镜手术等手术治疗。
我们报告一例38岁非洲加勒比裔女性在妊娠晚期复发性自发性气胸的病例。该疾病经三次插入肋间引流进行治疗，产后随即进行了手术干预。
对于出现胸痛和呼吸困难的孕妇，鉴别诊断时应考虑气胸。管理良好的病例未报告有不良母婴结局。管理需要产科和外科团队之间的良好协作。
