Sharma Shorabh, Khatri Shivam, Agarwal Akshay, Smith Jordan, Sharma Swati, Patel Swati
Division of Internal Medicine, Department of Medicine, St. Barnabas Hospital, Bronx, NY, USA.
CUNY School of Medicine, 160 Convent Ave, New York, NY 10031, USA.
Radiol Case Rep. 2023 Jun 20;18(9):2955-2959. doi: 10.1016/j.radcr.2023.06.021. eCollection 2023 Sep.
Pneumothorax is a medical condition characterized by air in the space between the visceral and parietal pleural surfaces, with spontaneous and traumatic classifications. Spontaneous pneumothorax is further divided into primary and secondary groups based on the presence or absence of clinically apparent underlying lung disease. Here we present a case of a 23-year-old female with no past medical history who presented with chest pain and shortness of breath, ultimately diagnosed with primary spontaneous interlobar pneumothorax. Despite advancements in medical diagnosis techniques, spontaneous interlobar pneumothorax remains a rare presentation of pneumothoraces. Treatment strategies for clinically stable patients with a first episode of primary spontaneous pneumothorax include observation with or without supplemental oxygen, with further intervention only if the pneumothorax fails to improve or worsens.
气胸是一种医学状况，其特征是脏层和壁层胸膜表面之间的空间存在气体，分为自发性和创伤性两类。自发性气胸根据是否存在临床上明显的潜在肺部疾病进一步分为原发性和继发性。本文介绍了一例23岁无既往病史的女性患者，她因胸痛和呼吸急促就诊，最终被诊断为原发性自发性叶间气胸。尽管医学诊断技术有所进步，但自发性叶间气胸仍然是气胸的一种罕见表现。对于首次发作的原发性自发性气胸且临床稳定的患者，治疗策略包括观察（可吸氧或不吸氧），只有在气胸无改善或恶化时才进行进一步干预。
