May-Smith Elizabeth, Olshan Marc, Supino Mark
Jackson Memorial Hospital, Department of Emergency Medicine, Miami, Florida.
Clin Pract Cases Emerg Med. 2024 Aug;8(3):268-272. doi: 10.5811/cpcem.6590.
Tension pyopneumothorax is a rare, life-threatening condition that occurs as a complication of intrathoracic infection or bronchopleural fistula. In the few cases reported in the literature, the patients typically have multiple comorbidities, underlying lung disease, and/or an immunocompromised state.
This case describes tension pyopneumothorax in a previously healthy adolescent male with no existing risk factors for this disease. After emergent stabilization and admission, surgical exploration of the chest revealed no fistulas or pleural defects. Extensive workup did not show any underlying risk factors for development of this condition.
This case of pyopneumothorax with progression to tension physiology is exceedingly rare. Uniquely, the patient had no underlying medical or anatomical predisposition to developing this condition. The case also emphasizes pediatric patients' capacity to compensate in the setting of critical illness.
张力性脓气胸是一种罕见的、危及生命的疾病，是胸腔内感染或支气管胸膜瘘的并发症。在文献报道的少数病例中，患者通常有多种合并症、潜在的肺部疾病和/或免疫功能低下状态。
本病例描述了一名既往健康的青少年男性发生的张力性脓气胸，该患者不存在患此病的现有风险因素。在紧急稳定病情并入院后，胸部手术探查未发现瘘管或胸膜缺损。全面检查未发现导致这种情况发生的任何潜在风险因素。
本例脓气胸进展为张力性生理状态极为罕见。独特的是，该患者没有发生这种情况的潜在医学或解剖学易患因素。该病例还强调了儿科患者在危重病情况下的代偿能力。
