The Rare Complication of Pneumatocele Formation in the Burned Patient with Inhalation Injury

發生於火燒傷併吸入性灼傷病人的罕見併發症－肺囊腫

曾文尚(Wen-Sun Tseng) ； 楊瑞永(Jui-Yung Yang) ； 莊秀樹(Shiow-Shuh Chuang)

《中華民國重建整形外科醫學會雜誌》 8卷4期 (1999/12) Pp. 301-307

https://doi.org/10.7096/JPRSA.199912.0301

摘要

肺囊腫是肺內的一個囊狀病兆，通常它的發生和肺炎有關，肺囊腫可以慢慢增大到壓迫周圍的肺、心臟和縱隔腔，造成呼吸或心臟衰竭，甚至可能會致命。我們提出一例因火燒傷併吸入性灼傷入院，住院過程中病人出現金黃色葡萄球菌性肺炎和成人呼吸窘迫症候群，之後產生肺囊腫的併發症；這肺囊腫增大到壓迫肺臟、心臟，造成病人呼吸衰竭，臨床症狀急遽惡化；經緊急置放兩根胸管於張力性肺囊腫中，肺囊腫的張力成功地獲得減壓，病人的臨床症狀大幅改善。
因此我們認為：對肺囊腫的早期診斷及密切地觀察，方能避免日後的併發症，甚至死亡。假如有張力性肺囊腫發生，置放胸管的減壓手術必須愈快愈好，以挽救病人的生命。

並列摘要

Pulmonary pneumatocele is a cystic lesion within the lung that usually occurs in associated with the penumonia. It could enlarge to compress the adjacent lung, heart, mediastinum, then to cause respiratory or cardiovascular compromise, and possibly fatal outcome.
We present one woman sustaining flame burn with inhalation injury. Staphylococcus pneumonia with adult respiratory distress syndrome (ARDS) complicated the admission course, and then followed by pneumatoceles formation. The pneumatoceles enlarged to cause respiratory insufficiency with clinical deterioration. The urgent placement of two chest tubes into the tension pneumatoceles resulted in successful decompression. The clinical condition obtained dramatic improvement.
Early diagnosis and close monitor of pneumatoceles should be emphasized to avoid further complications, and even mortality. The decompression should be done as soon as possible if tension pneumatoceles develop.

並列關鍵字

pneumatocele ； inhalation injury ； staphylococcus pneumonia ； tension pneumatocele