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本文报告月经性气胸1例并复习文献40例。病者32岁,女,过去月经良好。此次因沐浴觉右胸痛,次日增剧,胸部 X 线照片诊断右侧气胸。静卧6日后肺部完全复张。20日后右气胸复发再入院。住院静卧5日后肺部完全膨胀,至下次月经开始,右胸又发生第三次气胸。第三次气胸好转后,未予特殊处理,在下次月经开始时又出现胸痛并引起气胸。为此,投用黄体与卵泡结合激素(Anovlar)试行抑制排卵共3个月,全无胸痛,气胸也不再发生。但中止服药,3日后又见月经并同时出现胸痛和气胸。诊断为月经性气胸。经剖胸施胸膜愈合术,术后未再发气胸。
This article reports 1 case of menstrual pneumothorax and reviewed 40 cases of literature. The patient is 32 years old, female, good menstruation in the past. The right chest pain due to bath feel, increased the next day, chest X-ray diagnosis of right pneumothorax. 6 days after lying completely resumed lungs. Right pneumothorax 20 days later re-admission. 5 days after hospitalization resumed full lung expansion to the next menstruation, the third right chest happened pneumothorax. After the third pneumothorax improved, no special treatment, at the beginning of the next menstruation and chest pain and cause pneumothorax. To this end, the vote with the corpus luteum and follicles combined hormone (Anovlar) trial to inhibit ovulation for a total of 3 months, no chest pain, pneumothorax no longer occur. But stop taking the medication, 3 days later, see also menstruation and chest pain and pneumothorax. Diagnosis of menstrual pneumothorax. After thoracotomy applied pleura healing, no recurrence of pneumothorax after surgery.