印度尼西亚男性矽肺所致双侧气胸的诊断方法与治疗：一例罕见病例
Diagnostic approach and management of bilateral pneumothorax due to silicosis in Indonesian male: A rare case.
作者信息
Siburian Risa Natalia, Dewi Kristin Purnama, Koesoemoprodjo Winariani
机构信息
Department of Respiratory and Pulmonary Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Department of Respiratory and Pulmonary Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
出版信息
Int J Surg Case Rep. 2022 Aug;97:107407. doi: 10.1016/j.ijscr.2022.107407. Epub 2022 Jul 11.
BACKGROUND
Bilateral pneumothorax due to silicosis was a rare case, so diagnosis and management are essential to the report.
CASE PRESENTATION
A 29-year-old Indonesian male complained of shortness of breath, cough, and body weight loss. Medical history interpreted pulmonary tuberculosis and successful treatment in 6 months. Physical examination and chest radiograph showed bilateral pneumothorax. The patient was diagnosed with bilateral pneumothorax due to silicosis and treated usage chest tube insertion and video-assisted thoracoscopic surgery (VATS). The patient has improved his condition after a few days of receiving post-surgery treatment.
DISCUSSION
Exposure to silica can determine through a spectrophotometer. The therapy of silicosis is still challenging because of the disease's progressivity and complications.
CONCLUSION
Silicosis is not only a chronic and progressive disease but also leads to many complications, including bilateral pneumothorax.
背景
矽肺所致双侧气胸是一种罕见病例，因此报告其诊断和治疗至关重要。
病例介绍
一名29岁的印度尼西亚男性主诉呼吸急促、咳嗽和体重减轻。病史显示曾患肺结核并在6个月内成功治愈。体格检查和胸部X光片显示双侧气胸。该患者被诊断为矽肺所致双侧气胸，并接受了胸腔闭式引流术和电视辅助胸腔镜手术（VATS）治疗。患者在接受术后治疗几天后病情有所改善。
讨论
可通过分光光度计测定二氧化硅暴露情况。由于矽肺的进行性和并发症，其治疗仍然具有挑战性。
结论
矽肺不仅是一种慢性进行性疾病，还会导致许多并发症，包括双侧气胸。
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