Okubo Tetsuyuki, Kawada Masaya, Suzuki Yoshinori, Kawarada Yo, Kitashiro Shuji, Okushiba Shunichi
Department of Thoracic Surgery, Sapporo Medical Center Tonan Hospital, Sapporo, Japan.
Kyobu Geka. 2013 Jun;66(6):456-9.
A 44-year-old female was presented to our department with a 4-day history of shortness of breath and chest pain. The chest X-ray showed pneumothorax with completely collapsed left lung. Thoracentesis was performed. She complained of dyspnea and the oxygen saturation decreased to 74% after thoracentesis. The 2nd chest X-ray and computed tomography demonstrated a left-sided pulmonary edema. A 67-year-old man came to our department complaining of persistent cough. The chest X-ray showed pneumothorax with collapsed right middle and lower lobes. Thoracentesis was performed. He complained of dyspnea and the oxygen saturation decreased to 87% after thoracentesis. The 2nd chest X-ray and computed tomography demonstrated an expanded right upper lobe, but also pulmonary edema in the right middle and lower lobes. Those patients were treated with supplemental oxygen without endotracheal intubation. Their oxygen saturation stabilized within 12 hours. They were successfully treated with the sole administration of oxygen.
一名44岁女性因气短和胸痛4天前来我院就诊。胸部X线显示气胸，左肺完全萎陷。进行了胸腔穿刺术。她诉呼吸困难，胸腔穿刺术后氧饱和度降至74%。第二次胸部X线和计算机断层扫描显示左侧肺水肿。一名67岁男性因持续咳嗽前来我院。胸部X线显示气胸，右中、下叶萎陷。进行了胸腔穿刺术。他诉呼吸困难，胸腔穿刺术后氧饱和度降至87%。第二次胸部X线和计算机断层扫描显示右上叶膨胀，但右中、下叶也有肺水肿。这些患者接受了补充氧气治疗，未进行气管插管。他们的氧饱和度在12小时内稳定下来。仅通过吸氧就成功治愈了他们。
