有天晚上，来自韩国首尔的小伙LEE突然出现明显胸闷，伴有呼吸困难，被120急诊送到了上海市同仁医院……
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.
当时韩国首尔是重点防控地区，这位小伙子正处在居家隔离期间！那么，他会不会是新冠症状呢？所幸胸部CT的检查结果暂时不考虑新冠，但新的问题出现了......
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，小伙的右侧胸腔里充满了气体，韩国小伙的病因竟是右侧气胸！
In the CT, his right chest cavity was full of gas. The cause of his condition was a right pneumothorax!
仔细询问病史后得知：
After asking for his medical history,
it was revealed that:
Lee在1-2月期间反复出现气胸后，随后在韩国首尔，做了气胸手术；
2020年2月底术后返回上海后，右侧气胸又再次发作。
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.
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怎么办？
What now?
由于大量气胸，胸外科在急诊时即做了胸腔闭式引流，缓解了症状，并收治入我院的隔离病房继续观察。隔离期满后复查，胸部影像学检查仍然提示有右侧明显气胸，而且在咳嗽时，胸腔引流装置内仍有漏气，于是胸外科郑敏主任建议进行再次手术治疗。
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.
小伙子和家属非常纠结，由于有语言沟通障碍，没有在中国公立医院看病的经验，很是担心！
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，在特需部帮助下，很快就派来了韩语翻译，胸外科的医生也提供英语帮助。在胸外科郑敏主任团队耐心解释病情和后续治疗方案后，LEE和家属最终决定在同仁医院接受进一步手术和治疗。
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.
最终手术非常成功！
Lee和他的家人在特需门诊的合影
Lee and his family takes a photo at the VIP clinic
He
何
wei
为
qi
气
xiong
胸
What is pneumothorax?
通俗的讲，就是肺破了，漏气了。人的肺一旦破了，少则一叶肺，多则一侧胸腔内的所有肺叶，都会受到压缩而不能正常工作，从而影响正常呼吸，甚至出现呼吸困难，严重者可危及生命。
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.
谁容易发生气胸？
Who is prone to pneumothorax?
气胸有外伤性气胸、自发性气胸和特发性气胸
各种年龄段都有可能发生气胸，青壮年发病也并不少见。
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.
发生气胸了怎么治？
How is pneumothorax treated?
气胸的治疗目的是促进患侧肺复张、消除病因及减少复发。基本治疗措施包括保守治疗、排气疗法、防止复发措施、手术疗法及防治并发症等。
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.
当气胸出现下列情况是需考虑外科手术治疗
Surgical treatment should be considered when pneumothorax presents the following conditions
1 | 同侧复发的气胸
Ipsilateral recurrent pneumothorax |
| 2 | 对侧首发的气胸
the pneumothorax of the first contralateral pneumothorax |
| 3 | 同时发生的两侧自发性气胸
Simultaneous occurrence of spontaneous pneumothorax on both sides |
4 | 胸腔闭式引流5～7天后持续性漏气或肺未能复张
After 5 ~ 7 days of closed thoracic drainage, persistent air leakage or lung failure to retract |
| 5 | 自发性血气胸
Spontaneous pneumothorax |
| 6 | 特殊人群及高风险职业（如参加中考或高考的学生、经常出差、从事高空作业或潜水或野外工作的人员、飞行员、司机、备孕女性等）
Special groups and high-risk jobs (such as students going through high school or college examinations, people who often take business trips, those engaged in high altitude work, diving work or fieldwork, pilots, drivers, women preparing for pregnancy, etc.） |
手术原理是简单的，通俗地讲，如同把自行车内胎进行胶水修补一样。
我们同仁医院胸外科常规应用微创胸腔镜手术（VATS）治疗气胸，只需要在腋窝下，开1-2个3-5cm的小孔，就能完成手术，而且手术后几乎没有剧烈的疼痛，术后6小时就可以自行下床活动了，一般7天后就能顺利拔管出院了。是不是一点不可怕啊？
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 绍
最后，隆重介绍一下同仁医院胸外科郑敏主任领衔的团队，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?
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（供稿：徐烨 ，编辑、翻译：何濛濛）