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Simultaneous Bilateral Spontaneous Pneumothorax in Patients Having Undergone a Previous Nuss Procedure

Nuss手術後緊急同時發生雙側原發性氣胸

摘要


Simultaneous bilateral primary spontaneous pneumothorax (SBPSP) is relatively rare and can be life-threatening. If the site of air leakage cannot be identified, urgent bilateral pleural drainage followed by staged or simultaneous bilateral video-assisted thoracoscopic surgery is safe and effective. We present the cases of 2 patients who developed sudden SBPSP, from among 178 who underwent a Nuss procedure for congenital pectus excavatum between August 2014 and August 2016. The clinical presentation and management are discussed.

並列摘要


同時發生雙側原發性自發性氣胸是一種相對罕見的疾病,可能會危及生命。如果發現雙側原發性自發性氣胸發生部位不能確定,緊急雙側胸腔引流,分期或同時雙側電視胸腔鏡手術為安全有效的處置。在2014年8月至2016年8月期間,我們在178例漏斗胸患者接受Nuss手術,出現兩例同時發生雙側原發 性自發性氣胸的案例。報告此兩病例,並且討論了臨床表現和處理。

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