Masuda Tatsuya, Ishida Junzo
Department of General Thoracic Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan.
Kyobu Geka. 2020 Jun;73(6):423-426.
We report a case of a simultaneous bilateral pneumothorax (buffalo chest). A 75-year-old man who had undergone resection of an esophageal carcinoma had difficulty in breathing and lost consciousness. He was transported to our hospital and diagnosed as a simultaneous bilateral pneumothorax. He underwent bilateral chest drainages, and was hospitalized. Because of the continued air leak, an operation was performed. First, thoracoscopic bullectomy was performed from the left side. Changing the position, the water poured in the left thoracic cavity to test for air leaks flowed out to the right drain in large quantities;thus, a communication between both sides of the thoracic cavity became clear, although we could not find a pleural defect between the thoracic cavities.
我们报告一例同时性双侧气胸（“水牛胸”）病例。一名75岁男性，曾接受过食管癌切除术，出现呼吸困难并失去意识。他被送往我院，诊断为同时性双侧气胸。他接受了双侧胸腔闭式引流，并住院治疗。由于持续漏气，遂行手术。首先，从左侧进行胸腔镜下肺大疱切除术。改变体位后，向左侧胸腔注入的用于检测漏气的水大量流入右侧引流管；因此，尽管我们在双侧胸腔之间未发现胸膜缺损，但双侧胸腔之间的交通变得明显。
