Kayawake Hidenao, Sakai Hiroaki, Matsumoto Hisako, Date Hiroshi
Department of Thoracic Surgery, Kurashiki Central Hospital Okayama, Japan ; Department of Thoracic Surgery, Kyoto University Kyoto, Japan.
Department of Thoracic Surgery, Kyoto University Kyoto, Japan.
Respirol Case Rep. 2014 Dec;2(4):150-3. doi: 10.1002/rcr2.82. Epub 2014 Oct 22.
Swyer-James syndrome was first described in 1953 as unilateral pulmonary emphysema in a 6-year-old boy. The characteristic feature of this syndrome is unilateral pulmonary hyperlucency on a chest X-ray film. Typical symptoms include recurrent chest infections, chronic cough, wheezing, and exertional dyspnea. Although there have been a few reports of pneumothorax in patients with Swyer-James syndrome, there have been no reports about an association with giant bullae. Here, we report a case of Swyer-James syndrome associated with a giant bulla and asthma, in which surgery achieved marked improvement of dyspnea.
斯怀尔-詹姆斯综合征于1953年首次被描述，是一名6岁男孩的单侧肺气肿。该综合征的特征性表现是胸部X光片上的单侧肺透亮度增加。典型症状包括反复肺部感染、慢性咳嗽、喘息和劳力性呼吸困难。虽然有几篇关于斯怀尔-詹姆斯综合征患者气胸的报道，但尚无关于与巨大肺大疱相关的报道。在此，我们报告一例与巨大肺大疱和哮喘相关的斯怀尔-詹姆斯综合征病例，手术使呼吸困难得到显著改善。
