这不是博雷哈夫综合征！一例自发性气胸病例。
It Is Not a Boerhaave! A Case of Spontaneous Pneumothorax.
作者信息
Khan Imran, Govindu Rukma R, Ammar Hussam
机构信息
Internal Medicine, MedStar Washington Hospital Center, Washington, USA.
Internal Medicine, The University of Texas Health Science Center at Houston, Houston, USA.
出版信息
Cureus. 2022 May 21;14(5):e25191. doi: 10.7759/cureus.25191. eCollection 2022 May.
Spontaneous pneumothorax is a pneumothorax that is not caused by trauma or an apparent precipitating factor. This report presents a case of a 91-year-old man with no history of lung disease who developed pneumothorax after two days of persistent nausea and vomiting. He was misdiagnosed as a case of Boerhaave's syndrome. A chest computed tomography with iohexol oral contrast showed no evidence of esophageal rupture, and an upper endoscopy revealed a small gastric ulcer and no gastric outlet obstruction. The patient was managed conservatively; his spontaneous pneumothorax, nausea, and vomiting resolved.
自发性气胸是一种并非由创伤或明显诱发因素引起的气胸。本报告介绍了一例91岁男性患者，该患者无肺部疾病史，在持续恶心和呕吐两天后发生气胸。他被误诊为博雷尔氏综合征。口服碘海醇的胸部计算机断层扫描未显示食管破裂的迹象，上消化道内镜检查发现一个小胃溃疡且无胃出口梗阻。该患者接受了保守治疗；他的自发性气胸、恶心和呕吐症状均得到缓解。
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