双侧同时自发性气胸：一种罕见的急诊临床病症。

Simultaneous bilateral spontaneous pneumothorax: a rare emergency clinical condition.

作者信息

Aydin Yener, Turkyilmaz Atila, İntepe Yavuz Selim, Eroglu Atilla

机构信息

Yozgat State Hospital, Department of Thoracic Surgery, Yozgat, Turkey.

Ataturk University, Medical Faculty, Department of Thoracic Surgery, Erzurum, Turkey.

出版信息

Eurasian J Med. 2010 Apr;42(1):5-8. doi: 10.5152/eajm.2010.02.

DOI:10.5152/eajm.2010.02

PMID:25610108

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4261299/

Abstract

OBJECTIVE

Spontaneous pneumothorax is a disease that may cause serious respiratory distress and can be a life-threatening condition. A total of 1.3% of all spontaneous pneumothorax cases are simultaneous bilateral spontaneous pneumothorax (SBSP). In this study, because of its rarity, we discuss SBSP cases in light of previously reported cases.

MATERIALS AND METHODS

Between January 2004 and December 2009, SBSP was detected in five patients.

RESULTS

All patients were male, and the mean patient age was 18.6 (between 16 and 22 years of age). All patients had various degrees of dyspnea and chest pain. All diagnoses were established by chest X-rays. Two patients (40%) had primary spontaneous pneumothorax (PSP), and three (60%) had secondary spontaneous pneumothorax (SSP) (two patients had silicosis, and one had Staphylococcus aureus pneumonia). Previously, bilateral tube thoracostomies were performed on all patients. One PSP patient had a left apical pleurectomy with axillary thoracotomy; the other had a right apical pleurectomy. Tetracycline pleurodesis was performed on one of the silicosis patients. No additional surgical procedure or pleurodesis was performed on the other silicosis patient or on the pneumonia patient. No recurrence of pneumothorax was observed in any patient.

CONCLUSIONS

SBSP could be a life-threatening condition; therefore, urgent diagnosis and appropriate treatment of this condition can save patients' lives.

摘要

目的

自发性气胸是一种可能导致严重呼吸窘迫的疾病，甚至可能危及生命。所有自发性气胸病例中，双侧同时性自发性气胸（SBSP）的发生率为1.3%。在本研究中，鉴于其罕见性，我们结合既往报道的病例对SBSP病例进行讨论。

材料与方法

2004年1月至2009年12月期间，共检测到5例SBSP患者。

结果

所有患者均为男性，平均年龄18.6岁（年龄范围在16至22岁之间）。所有患者均有不同程度的呼吸困难和胸痛。所有诊断均通过胸部X线检查确立。2例患者（40%）为原发性自发性气胸（PSP），3例（60%）为继发性自发性气胸（SSP）（2例患有矽肺，1例患有金黄色葡萄球菌肺炎）。此前，所有患者均接受了双侧胸腔闭式引流术。1例PSP患者接受了左肺尖胸膜切除术及腋下开胸手术；另1例接受了右肺尖胸膜切除术。1例矽肺患者接受了四环素胸膜固定术。另1例矽肺患者及肺炎患者未进行额外的手术或胸膜固定术。所有患者均未观察到气胸复发。