Vanishing Lung Syndrome and Lung Volume Reduction Surgery-A Case Report

多發性巨型大泡性肺氣腫又稱消失的肺症候群，臨床上很罕見，它通常發生在年輕的抽菸患者。我們報告一個四十一歲男性經由胸腔電腦斷層診斷爲Vanishing肺症候群，他每天抽四十支香菸持續二十二年，主訴活動性喘持續二年，最近一週症狀加劇，患者戒菸並接受肺部減體手術，手術後，他的臨床症狀，胸腔X光，肺功能，都明顯改善，手術後三個月，患者恢復健康並回歸工作崗位，這個病釗報告證實巨型大泡性肺氣腫可以成功經由手術處理，且它的大小可經由胸腔電腦斷層和肺容積檢查作判斷。

關鍵字

大泡性肺氣腫；消失的肺症候群；氣胸

並列摘要

Development of multiple lung bullae [variously termed primary bullous disease of the lung, giant bullous emphysema (GBE), or vanishing lung syndrome (VLS)] is rare, and has been described in young male smokers. We presented a 4 1-year-old man with vanishing lung syndrome diagnosed via chest computed tomography (CT). He had a 22-year history of smoking 40 cigarettes a day, and had suffered from exertional dyspnea and productive cough with whitish sputum for 2 years. These symptoms had increased from one week ago. He was advised to stop smoking and received lung volume reduction surgery (LVRS). Post-operatively, significant improvements in dyspnea, spirometry values, lung volume measurement and chest radiography were observed. Three months postoperatively the patient was in good health and back at work. This case demonstrated that giant bullae can be successfully managed with surgical resection, and that their size can be determined by different techniques, including chest CT and lung volume measurements.

並列關鍵字

Bullous emphysema ； Vanishing lung syndrome ； Pneumothorax

國際替代計量

Vanishing Lung Syndrome and Lung Volume Reduction Surgery-A Case Report

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