中醫治療自發性氣胸之病例報告

原發型自發性氣胸好發於年輕男性，而繼發性的自發性氣胸、身材高瘦、持續抽菸者較容易復發，臨床建議反覆發作的患者接受肋膜沾黏術或是影像輔助胸腔內視鏡手術，以預防氣胸復發。本病例是一名68歲男性，因自發性氣胸反覆發作，於本院住院接受胸腔引流加負壓抽吸保守性治療共三次。此患者在第三次住院期間，因接受保守性治療後無法痊癒，故尋求中醫會診治療，治療期間患者配合接受藥物肋膜沾黏術，在經過半個月的中藥治療與追蹤，氣胸症狀改善順利出院，藉此病例報告以提出治療經驗，供臨床上參考和運用。

關鍵字

自發性氣胸；中醫治療；肋膜沾黏術

並列摘要

Primary spontaneous pneumothorax is common in young male adults. Those who have secondary spontaneous pneumothorax, are tall and thin, or continuously smoke are prone to disease recurrence. It is suggested that spontaneous recurrent patients undergo pleurodesis or video-assisted thoracic surgery to avoid further recurrence. This case is about a 68-year-old man, suffering from several recurrences of spontaneous pneumothorax, who was hospitalized to undergo pigtail catheter thoracostomy and observation. During his third hospitalization for conservative treatment, he couldn't be free of the symptoms. After two weeks of Chinese medicine intervention, the symptoms including dyspnea and chest tightness improved, and he was discharged. We demonstrate the experience in this case report for clinical reference and application.