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一名年轻成年人巨大创伤性肺气囊治疗的新视角。

New perspectives for a huge traumatic pneumatocele treatment in a young adult.

作者信息

Shai Sen-Ei, Lai Yi-Ling, Tang Hsiao-Wen, Hung Shih-Chieh

机构信息

Division of Thoracic Surgery Taichung Veterans General Hospital Taichung Taiwan.

Institute of Clinical Medicine National Yang-Ming University Taipei Taiwan.

出版信息

Respirol Case Rep. 2020 Feb 17;8(3):e00537. doi: 10.1002/rcr2.537. eCollection 2020 Apr.

Abstract

Traumatic pneumatocele (TP) is a very rare condition that occurs mostly in children and young adults. Conservative treatment is full-fledged for uncomplicated cases. We presented here an 18-year-old young adult with chest trauma caused by a fall. Chest computed tomography disclosed a cavitary lesion 10.5 × 8.5 × 6.4 cm over right upper lobe (RUL) with bilateral lower lung contusion and a mild haemopneumothorax but without rib fractures. Under conservative treatment, the condition lasted for ~8 months before complete resolution. Detailed temporal changes in chest X-ray were recorded for the analysis of natural healing processes.

摘要

创伤性肺气囊(TP)是一种非常罕见的病症,主要发生于儿童和年轻人。对于无并发症的病例,保守治疗是充分有效的。我们在此报告一名18岁的年轻成年人,因跌倒导致胸部创伤。胸部计算机断层扫描显示右上叶有一个10.5×8.5×6.4厘米的空洞性病变,伴有双侧下肺挫伤和轻度血气胸,但无肋骨骨折。在保守治疗下,病情持续了约8个月才完全缓解。记录了胸部X线的详细时间变化,以分析自然愈合过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f977/7025915/b6454f9c8200/RCR2-8-e00537-g001.jpg

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