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[肺发育不全孕妇自发性气胸引发的急性呼吸困难]

[Acute dyspnoea triggered by spontaneous pneumothorax in a pregnant woman with pulmonary agenesis].

作者信息

Arnadottir Asthildur, Qazi Saddiq Mohammad, Høi-Hansen Thomas

出版信息

Ugeskr Laeger. 2016 Aug 22;178(34).

PMID:27549006
Abstract

A 29-year-old pregnant woman was admitted to hospital with chest pain and dyspnoea. A thoracal computed tomography (CT) was performed to rule out pulmonary embolism, and it revealed a left-sided pneumothorax, which was treated with tube thoracostomy. Three days after discharge she was readmitted with spontaneous pressure pneumothorax. Her clinical condition did not improve, and a pulmonary scintigraphy and a new thoracal CT showed unilateral right pulmonary agenesis. Pulmonary agenesis is very rare in adulthood, and in this case it was complicated with spontaneous pneumothorax.

摘要

一名29岁的孕妇因胸痛和呼吸困难入院。进行了胸部计算机断层扫描(CT)以排除肺栓塞,结果显示左侧气胸,遂行胸腔闭式引流术治疗。出院三天后,她因自发性张力性气胸再次入院。其临床症状未改善,肺部闪烁扫描和新的胸部CT显示右侧肺不发育。肺不发育在成年期非常罕见,在本病例中还并发了自发性气胸。

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