de Vere Felicity, House Robyn, Gokdogan Yunus
Emergency Department, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
BMJ Case Rep. 2017 Nov 21;2017:bcr-2017-221939. doi: 10.1136/bcr-2017-221939.
Pneumothorax and pulmonary embolism (PE) are two life-threatening causes of shortness of breath in patients presenting to the emergency department. A rare but more serious presentation is that of simultaneous PE and pneumothorax. We present the case of a young patient, with no known comorbidities, who presented with simultaneous submassive PE and pneumothorax. We will review how these two diagnoses may be related, consider the implications of having this dual diagnosis on the patient's management and review the current evidence surrounding thrombolysis in submassive PE.
气胸和肺栓塞（PE）是急诊科患者出现呼吸急促的两种危及生命的病因。一种罕见但更严重的情况是同时发生PE和气胸。我们报告一例年轻患者，无已知合并症，同时出现亚大块PE和气胸。我们将探讨这两种诊断可能的关联，考虑这种双重诊断对患者治疗的影响，并回顾目前关于亚大块PE溶栓治疗的证据。
