Spontaneous pneumothorax in young subjects
Spontaneous pneumothorax in young subjects
复制标题
年轻受试者自发性气胸
作者：
I. Lichter;J. Gwynne
自发性气胸可能会使肺部疾病复杂化，这些疾病在临床或放射学上表现为慢性支气管炎、哮喘、结核病、支气管扩张，以及较少见的肺癌、矽肺、肺梗死和其他较罕见的疾病。这些患者通常是年龄较大的人群，最常见的诱因是慢性支气管炎。发生在这些疾病中的气胸是众所周知的，不需要进一步的阐述。自发性气胸也可能发生在表面上健康但没有明显肺部病变的人身上。受试者通常是年轻的，通常是男性，并且在第一集之前一直健康状况良好。他们通常是运动型的，往往又高又瘦的体格。属于后一类的20例病例构成了本研究的基础。均行肺尖部楔形切除术。本文介绍了其临床和组织学表现，并对相关文献进行了简要回顾。
Spontaneous pneumothorax may complicate lung disease which is clinically or radiologically apparent in patients suffering from chronic bronchitis, asthma, tuberculosis, bronchiectasis, and, less commonly, bronchial cancer, silicosis, pulmonary infarction, and other more rare disorders. These patients are usually in the older age group, and the commonest predisposing factor is chronic bronchitis. Pneumothorax occurring in these diseases is well recognized and needs no further elaboration. Spontaneous pneumothorax may also occur in apparently healthy people with no demonstrable pulmonary lesion. The subjects are often young, usually male, and have been in good health prior to their first episode. They are often athletic and tend to be of tall, thin physique. A group of 20 cases which falls into this latter category forms the basis of this study. They were all treated by wedge resection of apical lung disease. The clinical and histological findings are presented and the literature is briefly reviewed.