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月经期气胸是继发性气胸的一种。1958年 Ma-urer 首次报道过反复发生15次月经期气胸之后,国外已有陆续报道,国内报道不多。现将我们遇到1例报告如下。病历摘要女患,18岁,学生。3年来右侧气胸发复发作,每次均在月经来潮的前后72小时内发病。发病时呼吸困难、胸痛、咳嗽,无咯血及咳痰。曾发生15次,均经 X 线检查证实为右侧气胸,无胸腔积液及纵膈气肿等 X 线征象。经治疗后胸腔内气体在1~2周内自行吸收。无胸膜肥厚及粘连。1988年3月24日,在月经期第1天突然发生右侧胸痛、呼吸困难,伴有咳嗽,无咳痰及咯血。病人月经规律,无家族史。查体:体温36.5℃,脉搏96次/
Menstrual period pneumothorax is a kind of secondary pneumothorax. 1958 Ma-urer first reported repeated 15 menstrual period pneumothorax, foreign reports have been reported, not many domestic reports. Now we encounter a case report is as follows. Female patient history, 18 years old, student. 3 years of pneumothorax on the right side of the recurrence, each time in the menstrual cramps onset within 72 hours. When the onset of dyspnea, chest pain, cough, hemoptysis and sputum. Have occurred 15 times, were confirmed by X-ray examination for the right pneumothorax, no pleural effusion and mediastinal emphysema and other X-ray signs. After treatment of chest gas in 1 to 2 weeks of self-absorption. No pleural hypertrophy and adhesions. March 24, 1988, the first day of the first menstrual period, right side of chest pain, difficulty breathing, accompanied by cough, no sputum and hemoptysis. The patient’s menstrual regularity, no family history. Physical examination: body temperature 36.5 ℃, pulse 96 times /