狼疮性肾炎伴有自发缓解的双侧气胸和纵隔气肿

Saudi Critical Care Journal Pub Date : 2017-07-01 DOI:10.4103/SCCJ.SCCJ_21_17

S. Abdulaziz, E. Althenayan

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引用次数: 2

摘要

我们报告了一名 29 岁的女性患者，已知她患有狼疮性肾炎，正在接受免疫抑制和腹膜透析治疗，并出现了双侧大面积自发性气胸和纵隔气肿。患者出现张力性气胸和纵隔气肿的症状，但她坚决拒绝插胸管。患者在使用高流量氧气 18 小时后康复，胸部图像恢复正常。

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Lupus nephritis with spontaneously resolved bilateral pneumothorax and mediastinal emphysema

We report a 29-year-old female patient known to have lupus nephritis on immunosuppression and peritoneal dialysis who developed large bilateral spontaneous pneumothorax and mediastinal emphysema. The patient showed signs of tension pneumothorax and pneumomediastinum; however, she adamantly refused chest tubes insertion. Recovery was noted within 18 h of high-flow oxygen with normalization of chest image.

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Saudi Critical Care Journal

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