印度尼西亚男性吸烟者继发自发性气胸1例

Pub Date : 2023-07-01 DOI:10.1016/j.ijso.2023.100640

Kudiarto, Winariani Koesoemoprodjo

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引用次数: 0

摘要

继发性自发性气胸(SSP)是一种罕见的疾病，由既往疾病的并发症引起胸膜腔内积聚空气。病例介绍一名印尼男性，59岁，主诉呼吸困难和胸痛。对患者进行结核分枝杆菌检查，未检出。胸部x线和胸部高分辨率计算机断层扫描(HRCT)显示左侧半胸SSP和小叶中心肺气肿。患者行左肺水封引流术(WSD)，病情有所改善，每月在门诊随访。SSP的诊断基于年龄、性别、吸烟者和放射学描述。在左肺安装WSD显示改善，并没有经历复发，因为有几个病例报告已修复无需手术。结论保守治疗可提高SSP患者的预后，无需手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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An active Indonesian male smoker with secondary spontaneous pneumothorax: A case report

Introduction

Secondary spontaneous pneumothorax (SSP) is a rare disease that accumulates air in the pleural cavity caused by complications from previous illnesses.

Case presentation

An Indonesian male, 59 years old, complained of breathlessness and chest pain. The patient was examined for Mycobacterium tuberculosis and not detected. Chest X-ray and thorax high-resolution computer tomography (HRCT) scan showed SSP and centrilobular emphysema in the left hemithorax. The patient underwent water seal drainage (WSD) installation on the left lung and experienced improvement and was followed up every month in the outpatient clinic.

Clinical discussion

Diagnosis of SSP is based on age, gender, smoker, and radiological description. WSD installation in the left lung showed improvement and did not experience recurrence because several cases were reported to have been repaired without surgery.

Conclusion

Conservative management is the first recommendation in the SSP case if it increases the prognosis without surgery.

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