一名出现进行性加重呼吸困难和气胸的孕妇。

A Pregnant Woman Presenting With Progressively Worsening Dyspnea and Pneumothorax.

作者信息

Agrawal Arun, Karle Ethan, Patel Tarang Pankaj, Wilson Grace, Hofmann Hunter, Sunna Ramez, Krvavac Armin

机构信息

Division of Pulmonary, Critical Care, and Environmental Medicine, University of Missouri School of Medicine, Columbia, MO.

Department of Medicine, University of Missouri and the Department of Medicine, University of Missouri School of Medicine, Columbia, MO.

出版信息

Chest. 2020 Jun;157(6):e193-e196. doi: 10.1016/j.chest.2019.11.035.

DOI:10.1016/j.chest.2019.11.035

PMID:32505325

Abstract

A 29-year-old Ukrainian woman presented to the obstetric clinic at 28 weeks' gestation with pregnancy complicated by intrauterine growth restriction. She reported progressively worsening dyspnea during her pregnancy and was found to have significant hypoxia with an oxygen saturation of 84% on room air prompting admission for further evaluation. Oxygen saturation improved to 92% on 10 L of supplemental oxygen. On further questioning, she was found to have a history significant for pleurodesis as a treatment for recurrent pneumothoraces and nephrectomy for a benign renal mass several years prior while living in Ukraine.

摘要

一名29岁的乌克兰女性在妊娠28周时前往产科诊所就诊，其妊娠合并宫内生长受限。她报告称孕期呼吸困难逐渐加重，在室内空气中氧饱和度为84%，存在明显缺氧，因此入院进一步评估。吸入10升补充氧气后，氧饱和度提高到了92%。进一步询问得知，她有胸膜固定术治疗复发性气胸的病史，以及数年前在乌克兰生活时因良性肾肿块进行肾切除术的病史。