Hagiwara Eri, Shiihara Jun, Enomoto Takahiro, Tsuchiya Noriko, Baba Tomohisa, Shinohara Takeshi, Nishihira Ryuichi, Kato Teruhumi, Ogura Takashi, Takahashi Hiroshi
Kanagawa Cardiovascular and Respiratory Center, Department of Respiratory Medicine.
Nihon Kokyuki Gakkai Zasshi. 2010 Feb;48(2):104-7.
This study was retrospectively conducted to clarify the clinical features of pneumothorax in patients with active nontuberculous mycobacterial (NTM) lung disease. The patients were 9 men and 7 women, with a median age of 70. Pathogenic mycobacteria were 12 Mycobacterium avium complex, 2 Mycobacterium kansasii, and 2 Mycobacterium fortuitum. More than one lung field was affected by NTM disease in 11 patients, whereas 4 patients were given a diagnosis of mild NTM disease only at the onset of pneumothorax. Five patients recovered with rest only, 4 with thoracic drainage, 4 needed surgery, and 2 developed chronic pneumothorax. Five patients experienced more than one recurrence of pneumothorax during treatment for NTM disease. The rate of the complication of pneumothorax in patients with NTM lung disease was estimated at around 2.3%.
Pneumothorax associated with NTM lung disease is not rare and is sometimes difficult to control.
本研究采用回顾性研究方法，以明确活动性非结核分枝杆菌（NTM）肺病患者气胸的临床特征。患者共9名男性和7名女性，中位年龄为70岁。致病分枝杆菌为12株鸟分枝杆菌复合群、2株堪萨斯分枝杆菌和2株偶然分枝杆菌。11例患者的多个肺野受到NTM疾病影响，而4例患者仅在气胸发作时被诊断为轻度NTM疾病。5例患者仅通过休息恢复，4例通过胸腔引流恢复，4例需要手术，2例发展为慢性气胸。5例患者在NTM疾病治疗期间经历了不止一次气胸复发。NTM肺病患者气胸并发症的发生率估计约为2.3%。
与NTM肺病相关的气胸并不罕见，有时难以控制。
