Yamanaka Sumitaka, Yamamoto Taketsugu, Inui Kenji
Department of Thoracic Surgery, Yokohama City University Medical Center, Yokohama, Japan.
Asian Cardiovasc Thorac Ann. 2011 Apr;19(2):166-8. doi: 10.1177/0218492311399192.
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.
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。
