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同时性双侧自发性气胸的及时处理:一次濒死经历

Timely Management of Simultaneous Bilateral Spontaneous Pneumothorax: A Near-Death Experience.

作者信息

Gaidhane Shilpa A, Batra Nitish, Nirmal Apoorva, Ansari Iftekhar

机构信息

Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Feb 6;15(2):e34684. doi: 10.7759/cureus.34684. eCollection 2023 Feb.

DOI:10.7759/cureus.34684
PMID:36909053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9994454/
Abstract

Simultaneous bilateral spontaneous pneumothorax is a situation that rarely occurs. The patient can have various presentations, from dyspnoea and chest pain to significant respiratory failure. Although it causes lung collapse in nearly two thirds of cases, early diagnosis and treatment are of the utmost importance. Here, we present the case of an 18-year-old boy who presented with complaints of sudden onset respiratory distress. He was immediately put on mechanical ventilation. He was diagnosed with simultaneous bilateral spontaneous pneumothorax on chest X-ray. He needed bilateral intra-thoracic drainage, following which a video-assisted thoracoscopy was done on the left side.

摘要

同时性双侧自发性气胸是一种罕见的情况。患者可能有多种表现,从呼吸困难和胸痛到严重的呼吸衰竭。尽管在近三分之二的病例中会导致肺萎陷,但早期诊断和治疗至关重要。在此,我们报告一例18岁男孩的病例,他因突发呼吸窘迫前来就诊。他立即接受了机械通气。胸部X线检查诊断为同时性双侧自发性气胸。他需要双侧胸腔引流,之后对左侧进行了电视辅助胸腔镜检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/8f2dbc7e6e70/cureus-0015-00000034684-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/fc93a422297a/cureus-0015-00000034684-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/8c3088c9d2d8/cureus-0015-00000034684-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/f8796e8716a1/cureus-0015-00000034684-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/48f2a8f34e1e/cureus-0015-00000034684-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/f66449aad523/cureus-0015-00000034684-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/e93496eeee43/cureus-0015-00000034684-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/8f2dbc7e6e70/cureus-0015-00000034684-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/fc93a422297a/cureus-0015-00000034684-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/8c3088c9d2d8/cureus-0015-00000034684-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/f8796e8716a1/cureus-0015-00000034684-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/48f2a8f34e1e/cureus-0015-00000034684-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/f66449aad523/cureus-0015-00000034684-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/e93496eeee43/cureus-0015-00000034684-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/9994454/8f2dbc7e6e70/cureus-0015-00000034684-i07.jpg

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