Rim Taegeun, Bae Joo Suck, Yuk Yong Soo
Department of Thoracic and Cardiovascular Surgery, Hana General Hospital, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Jun;44(3):253-6. doi: 10.5090/kjtcs.2011.44.3.253. Epub 2011 Jun 11.
Spontaneous pneumothorax is a common clinical problem in emergency care. However, the overall incidences of primary spontaneous pneumothorax has been reported from as low as 1.4% to 7.6%. The clinical findings of simultaneous bilateral spontaneous pneumothorax can be variable. Clinical presentation is variable, ranging from mild dyspnea to tension pneumothorax. Bilateral tension pneumothorax can defined as cases where no tracheal deviation is detected in chest X-ray, and symptoms may be equal bilaterally. Herein, we present a case with simultaneous bilateral tension pneumothorax, severely deteriorated (i.e. with loss of consciousness, cyanosis, and hemodynamically unstable), that was successfully treated with immediate large-size needle decompression.
自发性气胸是急诊护理中常见的临床问题。然而，原发性自发性气胸的总体发病率据报道低至1.4%至7.6%。双侧同时发生自发性气胸的临床症状可能各不相同。临床表现多样，从轻度呼吸困难到张力性气胸。双侧张力性气胸可定义为胸部X线检查未发现气管偏移且双侧症状可能相同的病例。在此，我们报告一例双侧同时发生的张力性气胸病例，病情严重恶化（即意识丧失、发绀且血流动力学不稳定），通过立即进行大口径针减压成功治愈。
