Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, the Netherlands.
Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, the Netherlands.
Ann Thorac Surg. 2021 Oct;112(4):e237-e239. doi: 10.1016/j.athoracsur.2021.01.051. Epub 2021 Feb 13.
Spontaneous pneumothorax can be classified into primary and secondary variants. A 58-year-old patient presented with a 7-week history of severe coughing and chest pain. He noticed progressive swelling of the face and the upper part of the body. His medical history revealed osteoporosis and severe rheumatoid arthritis treated with steroids and disease-modifying antirheumatic drugs. Computed tomography of the thorax revealed complete rupture of the thoracic wall through costae 9 and 10 with lung herniation. The defect was closed using dual mesh and the pneumothorax was treated. Two weeks after surgery, the subcutaneous emphysema resolved and the patient was discharged from the hospital.
自发性气胸可分为原发性和继发性两种类型。一名 58 岁患者因剧烈咳嗽和胸痛 7 周就诊。他注意到面部和身体上部逐渐肿胀。他的病史显示骨质疏松症和严重的类风湿性关节炎，用类固醇和改善病情的抗风湿药物治疗。胸部计算机断层扫描显示胸壁通过第 9 和第 10 肋骨完全破裂，肺部疝出。使用双网片封闭了该缺损，并治疗了气胸。手术后 2 周，皮下气肿消退，患者出院。
