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一名年轻成年人双侧巨大肺大疱病例。

A case of bilateral giant bullae in young adult.

作者信息

Park Ju-Hee, Kim Junghyun, Lee Jung-Kyu, Kim Soo Jung, Lee Ae-Ra, Moon Hyeon Jong, Kim Deog Kyeom

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine and Lung Institute, Seoul National University College of Medicine, Seoul, Korea. ; Department of Thoracic Surgery, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

Department of Thoracic Surgery, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Tuberc Respir Dis (Seoul). 2013 Nov;75(5):222-4. doi: 10.4046/trd.2013.75.5.222. Epub 2013 Nov 29.

DOI:10.4046/trd.2013.75.5.222
PMID:24348672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3861380/
Abstract

Giant bullae are large bullae occupying at least one-third of the hemithorax and surgical bullectomy is the treatment of choice. We report a case with symptomatic giant bullae which were resected successfully. A 35-year-old man presented with bilateral giant bullae that occupied almost the entire left hemithorax and a third of the right hemithorax. He was a current smoker with a 30 pack-year history and he presented with dyspnea on exertion. An elective surgical bullectomy was performed with video-assisted thoracoscopic surgery. The patient recovered without any adverse events and stayed well for 1 month after surgery.

摘要

巨大肺大疱是指占据至少一侧胸腔三分之一的大疱,手术切除肺大疱是首选的治疗方法。我们报告一例成功切除有症状巨大肺大疱的病例。一名35岁男性,双侧巨大肺大疱几乎占据了整个左胸腔和右胸腔的三分之一。他是一名现吸烟者,有30年的吸烟史,表现为活动时呼吸困难。采用电视辅助胸腔镜手术进行了择期手术切除肺大疱。患者术后恢复良好,无任何不良事件,术后1个月情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfd/3861380/0d26188876f1/trd-75-222-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfd/3861380/837ef7b94907/trd-75-222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfd/3861380/0d26188876f1/trd-75-222-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfd/3861380/837ef7b94907/trd-75-222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfd/3861380/0d26188876f1/trd-75-222-g002.jpg

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本文引用的文献

1
Surgical resection of a giant emphysematous bulla occupying the entire hemithorax.手术切除占据整个胸腔的巨大气肿性大疱。
Eur J Cardiothorac Surg. 2013 May;43(5):e136-8. doi: 10.1093/ejcts/ezs699. Epub 2013 Jan 18.
2
Vanishing lung syndrome (giant bullous emphysema): CT findings in 7 patients and a literature review.消失肺综合征(巨大疱性肺气肿):7 例患者的 CT 表现及文献复习。
J Thorac Imaging. 2009 Aug;24(3):227-30. doi: 10.1097/RTI.0b013e31819b9f2a.
3
Elective surgery for giant bullous emphysema: a 5-year clinical and functional follow-up.
巨大肺大疱性肺气肿的择期手术:5年临床及功能随访
Chest. 2005 Oct;128(4):2043-50. doi: 10.1378/chest.128.4.2043.
4
Giant bulla mimicking pneumothorax.酷似气胸的巨大肺大疱。
J Emerg Med. 2005 Aug;29(2):155-8. doi: 10.1016/j.jemermed.2005.04.004.
5
Spontaneous regression of a giant pulmonary bulla.巨大肺大疱的自发消退
Thorax. 1996 May;51(5):549-50. doi: 10.1136/thx.51.5.549.
6
Idiopathic giant bullous emphysema (vanishing lung syndrome): imaging findings in nine patients.特发性巨大疱性肺气肿(肺消失综合征):9例患者的影像学表现
AJR Am J Roentgenol. 1994 Feb;162(2):279-82. doi: 10.2214/ajr.162.2.8310909.