休斯-斯托文综合征并发致命性气胸的behaperet病:简单的运气不好还是有致病关系?

I. Rachdi, M. Jridi, M. Somaï, W. Garbouj, H. Zoubeidi, Wided Hizem, Z. Aydi, B. Dhaou, F. Boussema, F. Daoud
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引用次数: 0

摘要

我们报告一位确诊为休斯-斯托文症候群的老年患者,经秋水碱皮质类固醇及环磷酰胺治疗后继发自发性气胸,患者出现胸痛并急性呼吸困难,检查发现胸部叩击时声音增高,呼吸音减少听诊胸部X线及胸部CT扫描显示左侧中等大小气胸,迅速扩大至双侧,患者被转至复苏病房接受胸腔引流,过程中出现严重的呼吸窘迫,需要插管,气胸可能是由胸膜腔气肿破裂引起的,包括肺肺炎和机械性气肿由于贝氏血管炎的炎症过程,患者的肺功能已经减弱
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hughes-Stovin syndrome complicated with fatal pneumothorax in Behçet’s disease: simple bad luck or is there an etiopathogenic link?
Pulmonary involvement in Beh ccedil et rsquo s disease is not usual and the occurrence of spontaneous pneumothorax is evena rarer complication We report the case of a secondary spontaneous pneumothorax occurring in a patient aged diagnosed of Hughes Stovin syndrome treated with colchicine corticosteroids and cyclophosphamide The patient experienced chest pain with acute dyspnea The examination found an increase in the sonority during percussion of the thorax with a decrease in respiratory sounds in auscultation Chest X ray and thoracic CT scan showed the presence of a left medium sized pneumothorax that extended rapidly and became bilateral The patient was transferred to a resuscitation unit undergoing a chest drainage The course was marked by severe respiratory distress requiring intubation The pneumothorax was probably caused by the rupture of pneumatocele in the pleural cavity Several factors have contributed to pneumatocele formation including pulmonary pneumonitis and mechanical ventilation in a lung already weakened by the inflammatory process of Beh ccedil et s vasculitis The patient had died with an unexplained etiology
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