Shirakusa T, Araki Y, Tsutsui M, Motonaga R, Iwanaga M, Ogami H, Matsuba K
Second Department of Surgery, School of Medicine, Fukuoka University, Japan.
Thorax. 1987 Jul;42(7):516-9. doi: 10.1136/thx.42.7.516.
Traumatic lung pseudocyst is an uncommon lung injury due to closed chest trauma. Four cases are reported; all were male and one was a child. Three cases showed spontaneous resolution of the pseudocyst and in one case, where resolution was slow, lobectomy was carried out at the patient's insistence. Diagnosis poses no serious problems as there is inevitably a history of substantial chest trauma. The chest radiograph shows a characteristic cavitatory lesion. The pseudocysts may be multiple. Tomography may be helpful in diagnosis and computed tomography can be particularly useful in the demonstration of paramediastinal traumatic pseudocysts.
创伤性肺假性囊肿是一种因闭合性胸部创伤导致的罕见肺损伤。本文报告了4例病例;均为男性,其中1例为儿童。3例假性囊肿自发消退,1例消退缓慢,在患者坚持下进行了肺叶切除术。由于不可避免地存在严重胸部创伤史,诊断不存在严重问题。胸部X线片显示特征性的空洞性病变。假性囊肿可能为多发。体层摄影有助于诊断,计算机断层扫描在显示纵隔旁创伤性假性囊肿方面尤其有用。