Biffl Walter L, Narayanan Vignesh, Gaudiani Jennifer L, Mehler Philip S
Department of Surgery, Denver Health Medical Center, Denver, Colorado, USA.
Patient Saf Surg. 2010 Feb 1;4(1):1. doi: 10.1186/1754-9493-4-1.
Of the many body systems adversely affected by severe anorexia nervosa (AN), the pulmonary system is relatively spared. However, in the face of severe malnutrition of AN, the lung may undergo architectural changes that adversely affect its integrity and healing capacity. We report herein a case of a pneumothorax in a patient with severe AN, in which standard approaches to manage the pneumothorax were unsuccessful. Despite prolonged tube thoracostomy drainage, and subsequent thoracoscopic pleuredesis, the patient continued to have an air leak and non-resolution of her pneumothorax. We review the literature and discuss alternative approaches in this patient population.
在受严重神经性厌食症（AN）负面影响的众多身体系统中，肺部系统相对幸免。然而，面对AN导致的严重营养不良，肺部可能会发生结构变化，从而对其完整性和愈合能力产生不利影响。我们在此报告一例严重AN患者发生气胸的病例，其中处理气胸的标准方法未成功。尽管进行了长时间的胸腔闭式引流，以及随后的胸腔镜胸膜固定术，但患者仍持续存在漏气现象，气胸未得到解决。我们回顾了文献并讨论了针对该患者群体的替代方法。
