Gilbert Christopher R, Toth Jennifer W, Osman Umar, Reed Michael F
Division of Pulmonary, Allergy, and Critical Care Medicine
Division of Pulmonary, Allergy, and Critical Care Medicine.
Respir Care. 2015 Mar;60(3):e46-8. doi: 10.4187/respcare.03540. Epub 2014 Oct 21.
The development of a persistent air leak after pneumothorax can be encountered in patients with underlying structural lung disease. In those with advanced malignancy or other comorbidities, the ability to tolerate general anesthesia and thoracoscopic procedures may limit definitive management. We describe the case of a 68-y-old male with refractory acute myelogenous leukemia presenting with recurrent secondary spontaneous pneumothorax and persistent air leak related to an underlying fungal pneumonia. Endobronchial valve placement allowed for timely chest tube removal and discharge from the hospital, as well as avoidance of a thoracoscopic procedure and pleurodesis.
气胸后持续性漏气的情况可能出现在患有潜在肺部结构性疾病的患者中。对于那些患有晚期恶性肿瘤或其他合并症的患者，耐受全身麻醉和胸腔镜手术的能力可能会限制确定性治疗。我们描述了一例68岁男性难治性急性髓性白血病患者，该患者反复出现继发性自发性气胸，并因潜在的真菌性肺炎导致持续性漏气。支气管内瓣膜置入术使得能够及时拔除胸管并出院，还避免了胸腔镜手术和胸膜固定术。
