Gelfand E T, Sheiner N M
Can Med Assoc J. 1974 Apr 20;110(8):937 passim.
The cases are described of two patients with pulmonary eosinophilic granuloma who presented with spontaneous pneumothorax. Prolonged air leak and recurrence of the pneumothorax after initial re-expansion of the lung occurred in both patients. In one of the patients the pneumothorax was simultaneously bilateral and almost complete.Thoracotomy, with aggressive and total pleurodesis, is recommended in the management of these patients to prevent recurrence and complications. Lung biopsy should be performed in all patients undergoing thoracotomy for recurrent pneumothorax.
本文描述了两例肺嗜酸性肉芽肿患者出现自发性气胸的病例。两名患者均出现了长时间的漏气以及肺初次复张后气胸复发的情况。其中一名患者的气胸为双侧同时发生且几乎完全性气胸。建议对这些患者进行开胸手术，并积极实施完全性胸膜固定术，以预防复发和并发症。对于所有因复发性气胸接受开胸手术的患者均应进行肺活检。
