Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Department of Pathology, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Chest. 2015 Nov;148(5):e148-e151. doi: 10.1378/chest.15-0813.
A 34-year-old woman presented with her third episode of acute-onset right-sided chest pain and dyspnea. She had two prior similar occurrences of right-sided sharp, pleuritic chest pain with radiation to the back and dyspnea. Chest radiographs during these presentations revealed a small apical right-sided pneumothorax that was managed conservatively with high-flow oxygen. All three presentations were associated with vigorous exercise and the first day of her menses. She denied cough, hemoptysis, fever, smoking history, airplane travel, scuba diving, or trauma during these presentations. The patient has been trying to conceive for the past year but has been unsuccessful because of uterine fibroids but no history of endometriosis.
一位 34 岁女性因第三次突发右侧胸痛和呼吸困难就诊。她之前有过两次类似的右侧锐痛、胸膜炎性胸痛，放射至背部和呼吸困难。这些发作期间的胸部 X 光片显示右侧小尖部气胸，经高流量氧气保守治疗。这三次发作均与剧烈运动和月经第一天有关。她否认在这些发作期间有咳嗽、咯血、发热、吸烟史、飞机旅行、水肺潜水或外伤。过去一年，患者一直在尝试怀孕，但由于子宫肌瘤而未能成功，但没有子宫内膜异位症病史。
