骨髓移植后闭塞性细支气管炎所致气胸。

Pneumothorax derived from bronchiolitis obliterans after marrow transplantation.

作者信息

Yamanaka Sumitaka, Yamamoto Taketsugu, Inui Kenji

机构信息

Department of Thoracic Surgery, Yokohama City University Medical Center, Yokohama, Japan.

出版信息

Asian Cardiovasc Thorac Ann. 2011 Apr;19(2):166-8. doi: 10.1177/0218492311399192.

DOI:10.1177/0218492311399192

PMID:21471265

Abstract

Long-term survival has become achievable after bone-marrow transplantation, but various pulmonary diseases due to chronic graft-vs.-host disease have been recognized. Particularly, bronchiolitis obliterans is a life-threatening complication with no effective remedy. Bilateral pneumothorax associated with bronchiolitis obliterans is rare, but it requires careful attention. In a 42-year old man with intractable pneumothorax after bone marrow transplantation and surgical procedures, extensive thoracolysis was effective as an acute treatment for this disease.

摘要

骨髓移植后长期存活已成为可能，但因慢性移植物抗宿主病引发的各种肺部疾病已被认识到。特别是，闭塞性细支气管炎是一种危及生命的并发症，尚无有效治疗方法。与闭塞性细支气管炎相关的双侧气胸很罕见，但需要密切关注。在一名骨髓移植和手术后患有顽固性气胸的42岁男性患者中，广泛胸廓成形术作为这种疾病的急性治疗方法是有效的。