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月经性气胸。

Catamenial pneumothorax.

机构信息

1 Interbalkan Medical Center, Pylea, Thessaloniki, Greece ; 2 Pulmonary Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Department of Respiratory Diseases Shanghai Hospital, II Military University Hospital, Shanghai 200433, China ; 5 Hematology Department, "Laiko" University General Hospital, Athens, Greece ; 6 Obstetric-Gynecology Department, "Thriassio" General Hospital of Athens, Athens, Greece ; 7 Institute for Pulmonary Diseases of Vojvodina, Clinic for Thoracic Oncology, Faculty of Medicine, University of Novi Sad, Serbia.

出版信息

J Thorac Dis. 2014 Oct;6(Suppl 4):S448-60. doi: 10.3978/j.issn.2072-1439.2014.08.49.

Abstract

Catamenial pneumothorax (CP) is the most common form of thoracic endometriosis syndrome, which also includes catamenial hemothorax, catamenial hemoptysis, catamenial hemopneumothorax and endometriosis lung nodules, as well as some exceptional presentations. Usually onset of lung collapse is less than 72 hours after menstruation. Most commonly occurs in women aged 30-40 years, but has been diagnosed in young girls as early as 10 years of age and post menopausal women (exclusively in women of menstrual age) most with a history of pelvic endometriosis. Diagnosis can be hinted by high recurrence rates of lung collapse in a woman of reproductive age with endometriosis. Moreover; CA-125 is elevated. Video-assisted thoracoscopy or medical thoracoscopy is used for confirmation. In our current work we will present all aspects of CP from diagnosis to treatment.

摘要

月经性气胸(CP)是胸子宫内膜异位症综合征最常见的形式,其还包括月经性血胸、月经性咯血、月经性血气胸和子宫内膜异位症肺结节,以及一些特殊表现。通常在月经后不到 72 小时发生肺萎陷。最常见于 30-40 岁的女性,但早在 10 岁的年轻女孩和绝经后妇女(仅在月经年龄的女性中)中也有诊断,这些患者大多有盆腔子宫内膜异位症病史。如果生育年龄的女性反复发生与子宫内膜异位症相关的肺萎陷,可提示诊断。此外,CA-125 升高。胸腔镜或内科胸腔镜用于确诊。在我们目前的工作中,我们将介绍 CP 从诊断到治疗的各个方面。

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