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Xử trí vỡ kén khí phổi hai bên ở bệnh nhân đa kén khí phổi: nhân một trường hợp lâm sàng và tổng quan y văn
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Abstract
A male patient complainted with shortness of breath after traffic accident and hospitalized in emegency department at University Medical Center.After that, the patient had diagnosed severe pneumothorax and had been indicated bilateral pleural drainage. In postoperative pleural drainge, he was still prolonged pneumothorax. High-resolution computed tomography (HRCT) shown that the patient had pneumothorax caused by multiple cystic lung disease. The Patient was successful surgery. We performed a full sternotomy with multiple blebs resection and pleurodesis done by pleurectomy into 2 sides. After surgery the patient recovered well along with the epidural pain relief and respiratory physiotherapy. Bilateral spontaneous pneumothorax caused by multiple cystic disease is a uncommon disease. HRCT helps to identify this condition. Understanding the causes of pathogenesis and choosing the appropriate treatment will have good long-term outcomes, limiting the recurrent pneumothorax.*
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Keywords
lymphangioleiomyomatosis, pulmonary Langerhans cell histiocytosis, BirtHogg-Dube syndrome, lymphocytic interstitial pneumonia/follicular bronchiolitis, amyloidosis, pneumothorax.
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