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原发性自发性气胸合并马方综合征。

Primary spontaneous pneumothorax in conjunction with Marfan syndrome.

作者信息

Wang Yannan J, Negron-Rubio Elsio, Keshavamurthy Jayanth H, Bates William B

机构信息

Department of Radiology, Augusta University Medical College of Georgia, Augusta, Georgia, USA.

Department of Diagnostic Radiology, Augusta University Medical College of Georgia, Augusta, Georgia, USA.

出版信息

BMJ Case Rep. 2018 Feb 27;2018:bcr-2017-222354. doi: 10.1136/bcr-2017-222354.

Abstract

A 25-year-old man with a history of Marfan syndrome, asthma and smoking presented with worsening dyspnoea and right-sided chest pain worsened with deep breathing after a fall 2 days prior. Diagnostic imaging revealed a spontaneous right-sided pneumothorax due to ruptured subpleural bullae in the apex of the right lung. Smaller subpleural bullae were also noted in the apex of the left lung. A chest tube was placed to reduce the right pneumothorax successfully.

摘要

一名25岁男性,有马凡综合征、哮喘和吸烟史,2天前跌倒后出现呼吸困难加重,深呼吸时右侧胸痛加剧。诊断性影像学检查显示,右肺尖部胸膜下大疱破裂导致自发性右侧气胸。左肺尖部也发现较小的胸膜下大疱。放置胸腔引流管成功减轻了右侧气胸。

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Pneumothorax and bullae in Marfan syndrome.马凡综合征中的气胸和大疱。
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Pneumothorax in the Marfan syndrome: prevalence and therapy.马凡综合征中的气胸:患病率与治疗
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本文引用的文献

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[Respiratory manifestations of Marfan's syndrome].[马凡综合征的呼吸系统表现]
Rev Mal Respir. 2015 Feb;32(2):173-81. doi: 10.1016/j.rmr.2014.06.030. Epub 2014 Nov 6.
2
Chest wall deformity found in patients with primary spontaneous pneumothorax.原发性自发性气胸患者中发现的胸壁畸形。
Asian Cardiovasc Thorac Ann. 2013 Oct;21(5):582-7. doi: 10.1177/0218492312467174. Epub 2013 Jul 11.
3
Pneumothorax and bullae in Marfan syndrome.马凡综合征中的气胸和大疱。
Respiration. 2011;82(3):219-24. doi: 10.1159/000322958. Epub 2011 Jan 22.
5
Spontaneous pneumothorax.自发性气胸
N Engl J Med. 2000 Mar 23;342(12):868-74. doi: 10.1056/NEJM200003233421207.

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