Suga M, Yuasa H, Mochiji M, Akaogi E
Department of Surgery, Hitachi Seisakusho Mito General Hospital, Japan.
Kyobu Geka. 1995 Jun;48(6):513-5.
A 41-year-old man was admitted to our hospital complaining of severe right chest pain and dyspnea. Soon after, right thoracocentesis was done and pleural free air was aspirated. Twenty minutes later he fell into a shock status. Chest roentgenogram showed massive right pleural fluid collection. Chest drainage revealed that massive bleeding continued. Therefore, emergent thoracotomy was performed. Bleeding point was a ruptured stump of pleural adhesion of the apical parietal pleura. His postoperative course was almost good, and discharged on the tenth postoperative day. Careful observation after thoracic aspiration is necessary in the treatment of spontaneous pneumothorax.
一名41岁男性因严重右胸痛和呼吸困难入院。不久后进行了右胸腔穿刺，抽出了胸腔内的游离气体。20分钟后，他陷入休克状态。胸部X线片显示右侧胸腔大量积液。胸腔引流显示持续大量出血。因此，进行了急诊开胸手术。出血点是顶部壁层胸膜胸膜粘连的破裂残端。他术后恢复情况良好，术后第十天出院。自发性气胸治疗中胸腔穿刺后需仔细观察。
