Ono M, Shindo G, Yagyuu K, Furuse A, Teramoto N, Fukuchi Y
Department of Thoracic Surgery, University of Tokyo, Japan.
Kyobu Geka. 1993 Dec;46(13):1166-9.
A 71-year-old male was admitted to an emergency hospital owing to severe dyspnea of sudden onset. Bilateral tension pneumothorax with two giant bullae occupying more than the third of the right lung was disclosed on the chest X-ray. Bilateral chest drainages and cardiopulmonary resuscitation were performed. He could be freed from ventilatory support several days after tracheostomy and was referred to our hospital. The pulmonary function was severely depressed: VC (%) 1.20 l (40%) and FEV1.0 (%) 0.55 l (46%). In spite of oxygen inhalation he could not keep sitting due to dyspnea (Hugh-Jones grade V). Right multiple bullectomy was performed successfully and his postoperative course was uneventful. He was discharged eight weeks later. Seven months after surgery his pulmonary function was remarkably improved: VC (%) 2.05 l (64%) and FEV1.0 (%) 0.94 l (46%). He became to walk almost equally with a healthy man one year later (Hugh-Jones grade II).
一名71岁男性因突发严重呼吸困难被收治入急诊医院。胸部X线显示双侧张力性气胸，伴有两个巨大肺大疱，占据右肺超过三分之一。进行了双侧胸腔引流和心肺复苏。气管切开术后数天，他脱离了通气支持，并被转诊至我院。肺功能严重受损：肺活量（VC）（%）为1.20升（40%），第一秒用力呼气容积（FEV1.0）（%）为0.55升（46%）。尽管吸氧，他仍因呼吸困难无法保持坐姿（Hugh-Jones分级为V级）。成功进行了右侧多次肺大疱切除术，术后恢复顺利。八周后出院。术后七个月，他的肺功能显著改善：肺活量（VC）（%）为2.05升（64%），第一秒用力呼气容积（FEV1.0）（%）为0.94升（46%）。一年后，他行走几乎与健康人无异（Hugh-Jones分级为II级）。
