PDF(Pubmed)
Abstract：
A 34-year-old female smoker, with a history of pelvic endometriosis, presented with initial symptoms of shortness of breath and a choking sensation. She was found to have a right pneumothorax on chest x-ray. Over the next eight months, she ultimately underwent three tube thoracostomies, two video-assisted thoracoscopic surgeries (VATS), wedge resection, and repeated pleurodesis due to pneumothorax recurrence. She was seen multiple times post-surgically with the focus of treatment being smoking cessation rather than contraceptive therapy, despite an early follow-up visit noting that the initial symptoms coincided with her menstruation. The purpose of this article is to bring attention to this rarely diagnosed condition. With added awareness and understanding of the underlying causes and available treatments, medical providers could likely spare many women from similar experiences and dramatically improve the quality of their lives.
摘要：
一个34岁的女性吸烟者,有盆腔子宫内膜异位症病史,出现呼吸急促和窒息感的初始症状。胸部X光检查发现她有正确的气胸。在接下来的八个月里，她最终做了三次胸腔镜造口术,两个电视胸腔镜手术（VATS），楔形切除术,并因气胸复发而反复胸膜固定术。她在手术后被多次看到，治疗的重点是戒烟而不是避孕治疗，尽管早期随访，注意到最初的症状与她的月经相吻合。本文的目的是引起人们对这种很少诊断的疾病的关注。随着对根本原因和可用治疗方法的认识和理解，医疗服务提供者可能会使许多妇女免于类似的经历，并大大提高她们的生活质量。
