厌食症患者自发性双侧气胸：术后长期漏气的处理。

IF 0.6 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Acta medica Okayama Pub Date : 2024-06-01 DOI:10.18926/AMO/67203

Kazuhiro Okada, Yuho Maki, Kei Matsubara, Yutaka Hirano, Toshiya Fujiwara, Motoki Matsuura

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引用次数: 0

摘要

一名患有神经性厌食症的 24 岁日本女性因双侧气胸来我院就诊，并在双侧胸膜腔内插入了 12 英尺的胸腔造口导管。住院第 9 天，进行了胸腔镜肺大泡切除术。然而，术后第 1 天，双侧胸腔再次漏气。右侧漏气尤为严重，我们将引流改为海姆立克瓣。两侧肺部逐渐扩张，术后第 19 天拔除了胸管。被动胸膜引流术可能是神经性厌食症患者鼓室切除术后长期漏气的一种选择。

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Spontaneous Bilateral Pneumothorax in a Patient with Anorexia Nervosa: The Management of Prolonged Postoperative Air Leakage.

A 24-year-old Japanese female with anorexia nervosa presented to our hospital for bilateral pneumothorax, and 12-Fr thoracostomy catheters were inserted into the bilateral pleural cavities. On hospital day 9, a thoracoscopic bullectomy was performed. However, air leakage relapsed on both sides on postoperative day 1. The air leakage on the right side was particularly persistent, and we switched the drainage to a Heimlich valve. Both lungs expanded gradually and the chest tube was removed on postoperative day 19. Passive pleural drainage might be an option for prolonged air leakage after a bullectomy in patients with anorexia nervosa.

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来源期刊

Acta medica Okayama 医学-医学：研究与实验

CiteScore

1.00

自引率

0.00%

发文量

110

审稿时长

6-12 weeks

期刊介绍： Acta Medica Okayama (AMO) publishes papers relating to all areas of basic and clinical medical science. Papers may be submitted by those not affiliated with Okayama University. Only original papers which have not been published or submitted elsewhere and timely review articles should be submitted. Original papers may be Full-length Articles or Short Communications. Case Reports are considered if they describe significant and substantial new findings. Preliminary observations are not accepted.