Simultaneous Bilateral Spontaneous Pneumothorax: A Case Report

同時雙側自發性氣胸：病例報告

侯民波(Min-Po Ho) ； 蘇展平(Chan-Ping Su) ； 劉昌明(Chang-Ming Liu) ； 蔡光超(Kuang-Chau Tsai) ； 張益誠(Yih-Chen Chang)

《中華民國急救加護醫學會雜誌》 20卷3期 (2009/09) Pp. 136-140

https://doi.org/10.30018/JECCM.200909.0005

摘要

自發性氣胸是臨床上相當常見的疾病，好發於高瘦的年輕人，尤其是吸菸者。然而兩側同時發生自發性氣胸的機會就較為罕見，一旦發生常會以顯著的呼吸困難表現。我們報告一位四十一歲女性病患因胸痛，乾咳與輕度呼吸困難兩週而被送至急診就醫，胸部X光顯示雙側自發性氣胸。住院期間她接受治療包括同時雙側胸管置放和影像輔助式胸腔手術（Video-Assisted Thoracic Surgery簡稱VATS）。病患二十三天後平安出院。

關鍵字

同時 ； 雙側 ； 自發性氣胸

並列摘要

Spontaneous pneumothorax is relatively common in clinical practice and occurs more frequently in young, tall thin men, and in smokers. However, simultaneous bilateral spontaneous pneumothorax is a rare clinical condition that often presents with significant respiratory distress. We report a case of simultaneous bilateral spontaneous pneumothorax in a 41-year-old woman who presented with chest pain and a dry cough followed by mild dyspnea for two weeks. She received simultaneous bilateral tube thoracostomies and video-assisted thoracoscopic surgery during hospitalization. She was discharged in relatively good condition on the 23rd hospital day.

並列關鍵字

simultaneous ； bilateral ； spontaneous pneumothorax