Gray R, Cormier M, Yedlicka J, Moncada R
J Thorac Imaging. 1987 Apr;2(2):72-5.
Since the initial case report in 1958, 69 cases of catamenial pneumothorax have appeared in English-language literature. Despite the extensive case material, the pathogenesis has not been fully elucidated. Herein an additional case is reported utilizing computed tomography (CT) to search for intrathoracic endometrial implants. The four major pathogenetic theories include passage of air from the genital tract via diaphragmatic defects, spontaneous rupture of subpleural blebs, intrathoracic endometriosis, and prostaglandin-induced bronchiolar constriction resulting in alveolar rupture. Evidence for and against each theory is presented.
自1958年首次病例报告以来，英文文献中已出现69例经期气胸病例。尽管有大量的病例资料，但发病机制尚未完全阐明。本文报告了另外一例利用计算机断层扫描（CT）寻找胸腔内子宫内膜植入物的病例。四种主要的发病机制理论包括空气经膈肌缺损从生殖道进入、胸膜下肺大疱自发破裂、胸腔内子宫内膜异位症以及前列腺素诱导的细支气管收缩导致肺泡破裂。文中列出了支持和反对每种理论的证据。
