Saito H, Harada T, Kawajiri F, Sakatoka M, Hirano M, Kitsukawa H, Tatsuzawa T, Horikami T, Karino T, Ito T
Department of Surgery, Koseiren Takaoka Hospital.
Kyobu Geka. 1991 Feb;44(2):162-4.
Three cases of catamenial pneumothorax were presented. A 42-year-old woman with intrapelvic endometriosis had recurrent right-sided pneumothorax with menstruation more than six times. At the operation only a bleb was noted at the apex of the right lung. In a 16-year-old woman who already had been operated on for recurrent right-sided pneumothorax one year ago, left-sided pneumothorax occurred on the day of the beginning of each menstruation four times. A small bleb was noted at the apex. A 29-year-old woman with cesarean section at the age of 25 had recurrent right-sided pneumothorax occurring on the day before the beginning of menstruation three times. Though the operation was performed during her menstrual period, neither air leakage nor any lesions were found. In all cases each lesion was resected and did not prove endometriosis, and partial parietal pleurectomy was performed for pleurodesis. No pneumothorax has recurred.
本文报告了3例月经期气胸病例。一名42岁患有盆腔内子宫内膜异位症的女性,月经期反复出现右侧气胸6次以上。手术时仅在右肺尖发现一个肺大疱。一名16岁女性,一年前因反复右侧气胸已接受过手术,在每次月经开始当天出现左侧气胸4次。在肺尖发现一个小肺大疱。一名29岁女性,25岁时行剖宫产,在月经开始前一天反复出现右侧气胸3次。尽管在经期进行了手术,但未发现漏气或任何病变。所有病例均切除了每个病变组织,未证实为子宫内膜异位症,并进行了部分壁层胸膜切除术以促进胸膜粘连。此后均未再发生气胸。