Concurrent Bilateral Spontaneous Pneumothorax Presenting with Long-Term Dizziness: A Case Report

以長期暈眩表現的同時雙側自發性氣胸：病例報告

蔡岳峰(Yueh-Feng Tsai) ； 張國亮(Kao-Liang Chang) ； 蘇英傑(Ying-Chieh Su) ； 馮瑤(Yaou Fong)

《南臺灣醫學雜誌》 3卷1期 (2007/06) Pp. 39-41

https://doi.org/10.6726/MJST.200706_3(1).0007

摘要

同時雙側氣胸是原發性自發性氣胸的一種罕見狀況，該疾病常引起胸痛及呼吸急促。我們報告一位罹患暈眩超過八個月的17歲男性病患，偶爾且短暫的胸痛也被抱怨。胸部X光顯示兩側氣胸。病人立即接受兩側胸腔插管，稍後並接受兩側胸腔鏡檢。在右側臥姿之下，利用胸腔鏡發現左肺尖的氣泡，並藉由左腋下迷你開胸予以切除，然後病人擺成左側臥，以相同程序切除右肺尖氣泡。病人術後恢復順利，術後第三天出院。一週後，胸部X光顯示該疾並無復發，且暈眩症狀完全解除。

關鍵字

氣胸 ； 雙側自發性氣胸

並列摘要

Concurrent bilateral pneumothorax is a rare entity of primary spontaneous pneumothorax. This disease usually causes chest pain and shortness of breast. We report a 17 year-old male patient who suffered from dizziness for more than 8 months. Occasional and transient chest pain was also complained. The chest radiograph showed bilateral pneumothoraces. The patient underwent bilateral tube thoracostomies immediately and bilateral thoracoscopies later. In a right lateral decubitus, a left apical bleb was found by thoracoscopy and excised through a left axillary minithoracotomy. Then the patient was placed in a left lateral decubitus. The right apical bleb was removed using the same procedures. The postoperative recovery was uneventful and the patient was discharged on the third postoperative day. One week after the operation the chest radiograph revealed no recurrence of the disease and dizziness was completely resolved.

並列關鍵字

pneumothorax ； bilateral spontaneous pneumothorax