Simultaneous Bilateral Primary Spontaneous Pneumothorax, Two Cases Report

同時雙側自發性氣胸－兩病例報導

黃英傑(Ying C. Huang)；張順清(Shun-Ching Cheung)；徐啟文(Chi-Wen Tu)

同時 ； 雙側 ； 自發性氣胸 ； simultaneous ； bilateral ； spontaneous pneumothorax

Journal of Emergency Medicine, Taiwan

8卷3期（2006 / 09 / 01）

110 - 113

英文

同時雙側發生自發性氣胸非常罕見，此類患者通常因為呼吸困難而就醫。如果未能及時診斷與治療，患者可能會因為病情惡化而死。當我們面臨一位呼吸困窘的患者，務必保持高度懷疑，特別當患者罹有惡性腫瘤或是其他肺病。床旁執行的超音波檢查或是X光攝影，常能診斷此症。因為此症患者常有潛在性疾病，除了插胸管減壓引流外，經常需要接受進一步的檢查與治療。

Simultaneous bilateral spontaneous pneumothorax is a rare disease that often presents with significant respiratory distress. Without in-time diagnosis and treatment, it can be fatal. High suspicion is necessary for every breathless patient, especially when there is malingancy or underlying lung diseases. Bedside ultrasonography or roentgenography can usually diagnose this disease. Tube thoracostomy, followed by detailed examinations and definitive treatment, is usually necessary because of the high risk of underlying diseases.