Stulz P, Schmitt H E, Hasse J, Grädel E
J Trauma. 1984 Sep;24(9):850-3.
Traumatic pulmonary pseudocysts and paramediastinal air cysts due to closed chest trauma are very uncommon. Minor clinical symptoms and major radiologic signs are characteristic of this form of injury to the lung parenchyma. Treatment of combined pseudocysts and pneumatocele in a 17-year-old girl is described. Chest X-ray and computed tomography provided the diagnosis. No surgical treatment was required. Intensive bronchial toilet and PEEP-assisted respiration by mask were followed by recovery. This condition must be differentiated from lung abscesses after infected hematomas, specific cavities, or congenital pulmonary cysts.
闭合性胸部创伤所致创伤性肺假性囊肿和纵隔旁气囊肿非常罕见。轻微的临床症状和显著的放射学征象是这种肺实质损伤形式的特征。本文描述了一名17岁女孩合并假性囊肿和气囊肿的治疗情况。胸部X线和计算机断层扫描确诊了病情。无需手术治疗。通过强化支气管灌洗和面罩PEEP辅助通气后患者康复。这种情况必须与感染性血肿、特定空洞或先天性肺囊肿后的肺脓肿相鉴别。
