A Case of Simultaneous Bilateral Spontaneous Pneumothoraces Developed into Tension Pneumothorax

兩側自發性氣胸發展成張力性氣胸：一病例報告

鄭名琁(Sally Cheng) ； 陳威龍(Wei-Lung Chen) ； 陳健驊(Jiann-Hwa Chen) ； 姚鍾太(Chung-Tay Yao)

《中華民國急救加護醫學會雜誌》 25卷1期 (2014/12) Pp. 1-5

摘要

兩側自發性氣胸對於一位沒有胸部外傷病史及其他心肺疾病的年輕病人來說是很少見，我們報告一例二十歲年輕人本身有長久抽菸及吸食K他命習慣，病人因突然呼吸急促被送到急診室並呈現呼吸衰竭現象，急診醫師第一時間給病人插管治療後，病人呈現張力性氣胸，病人隨後接受手術治療後痊癒出院。

關鍵字

兩側自發性氣胸 ； 張力性氣胸

並列摘要

Simultaneous bilateral spontaneous pneumothoraces (SBSP) is a rare clinical disease, and prompt diagnosis can be difficult as symptoms range from a mild decrease in breath sounds to severe shortness of breath with respiratory failure. We report a 20-year-old slim male presented to the emergency department with sudden onset of severe dyspnoea. Patient was successfully intubated and ventilated with 100% oxygen. Followed up chest radiograph revealed bilateral tension pneumothoraces. Finally, he was discharged from the hospital and his course of recovery was uneventful.

並列關鍵字

simultaneous bilateral spontaneous pneumothoraces ； tension pneumothorax