气胸与哮喘。
Pneumothorax and asthma.
作者信息
Porpodis Konstantinos, Zarogoulidis Paul, Spyratos Dionysios, Domvri Kalliopi, Kioumis Ioannis, Angelis Nikolaos, Konoglou Maria, Kolettas Alexandros, Kessisis Georgios, Beleveslis Thomas, Tsakiridis Kosmas, Katsikogiannis Nikolaos, Kougioumtzi Ioanna, Tsiouda Theodora, Argyriou Michael, Kotsakou Maria, Zarogoulidis Konstantinos
机构信息
1 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 2 Anaesthesiology Department, "Saint Luke" Private Clinic, Thessaloniki, Panorama, Greece ; 3 Onocology Department, "Saint Luke" Private Clinic, Thessaloniki, Panorama, Greece ; 4 Cardiology Department, "Saint Luke" Private Clinic, Thessaloniki, Panorama, Greece ; 5 Cardiothoracic Surgery Department, "Saint Luke" Private Clinic, Thessaloniki, Panorama, Greece ; 6 Surgery Department (NHS), University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 7 Internal Medicine Department, "Theageneio" Cancer Hospital, Thessaloniki, Greece ; 8 2nd Cardiac Surgery Department, "Evangelismos" General Hospital, Athens, Greece ; 9 Electrophysiology Department, "Saint Luke" Private Clinic, Thessaloniki, Panorama, Greece.
出版信息
J Thorac Dis. 2014 Mar;6 Suppl 1(Suppl 1):S152-61. doi: 10.3978/j.issn.2072-1439.2014.03.05.
This review is focused on the relationship between asthma, pneumothorax and pneumomediastinum while presenting a number of case reports that include these conditions. The association between pneumothorax and asthma is not widely known. While asthma includes a common disorder and is prevalent worldwide, its morbidity and mortality is high when is associated with pneumothorax. Furthermore, the delayed diagnosis of pneumothorax while focusing on asthma includes the higher risk of coincidental pneumothorax in asthmatic patients. In addition, pneumomediastinum is considered benign and self-limiting condition that responds to conservative therapy. Although it is rare, the concurrence of pneumomediastinum with pneumothorax may prove fatal during a serious asthma attack. In conclusion, the symptoms of chest pain, dyspnea or focal chest findings when presented in asthmatic patients, must always create suspicion of pneumothorax or pneumomediastinum to the physician.
本综述聚焦于哮喘、气胸和纵隔气肿之间的关系，同时展示了一些包含这些病症的病例报告。气胸与哮喘之间的关联并不广为人知。虽然哮喘是一种常见疾病且在全球范围内普遍存在，但当它与气胸相关联时，其发病率和死亡率很高。此外，在专注于哮喘的同时气胸的延迟诊断包括哮喘患者并发气胸的更高风险。另外，纵隔气肿被认为是一种良性的自限性病症，对保守治疗有反应。虽然罕见，但纵隔气肿与气胸同时出现可能在严重哮喘发作期间致命。总之，哮喘患者出现胸痛、呼吸困难或局部胸部体征时，医生必须始终怀疑有气胸或纵隔气肿。
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