   有天晚上，來自韓國首爾的小伙L(fēng)EE突然出現(xiàn)明顯胸悶，伴有呼吸困難，被120急診送到了上海市同仁醫(yī)院…… One night, Lee, a young man from Seoul, South Korea, was taken to Shanghai TongRen Hospital by 120 ambulance because of sudden chest tightness and dyspnea. 當(dāng)時(shí)韓國首爾是重點(diǎn)防控地區(qū)，這位小伙子正處在居家隔離期間！那么，他會(huì)不會(huì)是新冠癥狀呢？所幸胸部CT的檢查結(jié)果暫時(shí)不考慮新冠，但新的問題出現(xiàn)了...... At that time, Seoul was a focal area for prevention and control, and the young man was in the middle of self-isolating at home! So, could he have coronavirus? Fortunately, the examination results of chest CT temporarily indicated the exclusion of coronavirus. However, a new problem appeared...  在CT上，小伙的右側(cè)胸腔里充滿了氣體，韓國小伙的病因竟是右側(cè)氣胸！ In the CT, his right chest cavity was full of gas. The cause of his condition was a right pneumothorax!  仔細(xì)詢問病史后得知： After asking for his medical history, it was revealed that: Lee在1-2月期間反復(fù)出現(xiàn)氣胸后，隨后在韓國首爾，做了氣胸手術(shù)； 2020年2月底術(shù)后返回上海后，右側(cè)氣胸又再次發(fā)作。 After repeatedly developing pneumothorax between January and February, Lee returned to Seoul in February and had pneumothorax surgery. At the end of February 2020, after returning to Shanghai, the right pneumothorax again occurred. 0 1 怎么辦？  What now? 由于大量氣胸，胸外科在急診時(shí)即做了胸腔閉式引流，緩解了癥狀，并收治入我院的隔離病房繼續(xù)觀察。隔離期滿后復(fù)查，胸部影像學(xué)檢查仍然提示有右側(cè)明顯氣胸，而且在咳嗽時(shí)，胸腔引流裝置內(nèi)仍有漏氣，于是胸外科鄭敏主任建議進(jìn)行再次手術(shù)治療。 Due to the severe pneumothorax, the Thoracic Surgery Department performed closed thoracic drainage in the emergency , which relieved the symptoms. He was then admitted to the isolation ward of our hospital for further observation. When reexamining after completion of the quarantine period, the chest imaging examination still indicated an obvious right pneumothorax, and when coughing there was still air leakage in the chest drainage device, so the Director of Thoracic Surgery Min Zheng recommended another surgical treatment.  小伙子和家屬非常糾結(jié)，由于有語言溝通障礙，沒有在中國公立醫(yī)院看病的經(jīng)驗(yàn)，很是擔(dān)心！ The young man and his family were very conflicted: there was a language communication barrier, and they had no experience seeing a doctor in a public hospital in China. They were very worried! 幸好，在特需部幫助下，很快就派來了韓語翻譯，胸外科的醫(yī)生也提供英語幫助。在胸外科鄭敏主任團(tuán)隊(duì)耐心解釋病情和后續(xù)治療方案后，LEE和家屬最終決定在同仁醫(yī)院接受進(jìn)一步手術(shù)和治療。 Fortunately, a Korean interpreter was soon sent with the help of the Vip Clinic, and the thoracic surgeon offered English help. After Director Min Zheng’s Thoracic Surgery Department team patiently explained the condition and the follow-up treatment plan, Lee and his family finally decided to receive further surgery and treatment in TongRen Hospital. In the end, the operation was a success. 最終手術(shù)非常成功！    Lee和他的家人在特需門診的合影 Lee and his family takes a photo at the VIP clinic He 何 wei 為 qi 氣 xiong 胸 What is pneumothorax?  通俗的講，就是肺破了，漏氣了。人的肺一旦破了，少則一葉肺，多則一側(cè)胸腔內(nèi)的所有肺葉，都會(huì)受到壓縮而不能正常工作，從而影響正常呼吸，甚至出現(xiàn)呼吸困難，嚴(yán)重者可危及生命。 In common language, it’s a broken lung and air leak. Once a person's lung is broken – it could be one lung lobe, or it could be all the lung lobes in one lung – it will be compressed and unable to work normally, thereby affecting normal breathing, or even causing breathing difficulties, with severe cases being life-threatening. 誰容易發(fā)生氣胸？ Who is prone to pneumothorax? 氣胸有外傷性氣胸、自發(fā)性氣胸和特發(fā)性氣胸 各種年齡段都有可能發(fā)生氣胸，青壯年發(fā)病也并不少見。 There is traumatic pneumothorax, spontaneous pneumothorax and idiopathic pneumothorax. Pneumothorax is likely to occur at all ages, and it is not uncommon for young adults to develop pneumothorax. 發(fā)生氣胸了怎么治？ How is pneumothorax treated? 氣胸的治療目的是促進(jìn)患側(cè)肺復(fù)張、消除病因及減少復(fù)發(fā)?；局委煷胧┌ūＪ刂委煛⑴艢獐煼?、防止復(fù)發(fā)措施、手術(shù)療法及防治并發(fā)癥等。 The purpose of pneumothorax treatment is to promote the side lung retraction, eliminate the cause and reduce recurrence. The basic treatment measures include conservative treatment, exhaust therapy, recurrence prevention measures, surgical treatment and prevention and treatment of complications. 當(dāng)氣胸出現(xiàn)下列情況是需考慮外科手術(shù)治療 Surgical treatment should be considered when pneumothorax presents the following conditions
手術(shù)原理是簡單的，通俗地講，如同把自行車內(nèi)胎進(jìn)行膠水修補(bǔ)一樣。 我們同仁醫(yī)院胸外科常規(guī)應(yīng)用微創(chuàng)胸腔鏡手術(shù)（VATS）治療氣胸，只需要在腋窩下，開1-2個(gè)3-5cm的小孔，就能完成手術(shù)，而且手術(shù)后幾乎沒有劇烈的疼痛，術(shù)后6小時(shí)就可以自行下床活動(dòng)了，一般7天后就能順利拔管出院了。是不是一點(diǎn)不可怕??？ The principle of the surgery is simple, generally speaking, it’s like gluing a bicycle inner tube In the Thoracic Surgery Department in TongRen Hospital, minimally invasive thoracoscopic surgery (VATS) is routinely used for the treatment of pneumothorax. It only requires one to two 3-5cm holes to be opened under the armpit to complete the operation. Moreover, there is almost no severe pain after the operation, 6 hours post-surgery the patient can get out of bed with no help, and in 7 days the tubes can normally be removed and the patient discharged. Not scary at all, right? 介 紹 最后，隆重介紹一下同仁醫(yī)院胸外科鄭敏主任領(lǐng)銜的團(tuán)隊(duì)，是不是更安心了！ Finally, we introduce to you the team led by Min Zheng, Department of Thoracic Surgery. Don’t you feel more at ease now? 滑動(dòng) 預(yù)約 （供稿：徐燁 ，編輯、翻譯：何濛濛） 上海交通大學(xué)醫(yī)學(xué)院附屬同仁醫(yī)院 |
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