緊張性気胸に対する胸腔ドレナージ後に顕在化した血胸の1例

Hemothorax Occurring after Chest Drainage for Tension Pneumothorax；Report of a Case

特発性血気胸は容易にショック状態にいたるために，すみやかに診断と治療を行う必要がある．われわれは自然気胸に対する胸腔ドレナージ後に遅発性に血胸が増悪し，緊急手術を要した症例を経験したので報告する．

A 23-year-old man was transported to our hospital complaining of chest pain and dyspnea. Chest X-ray revealed the right side tension pneumothorax with pleural effusion. A 12 Fr. chest tube was inserted. After 6 hours of chest drainage, the sign of intrathoracic bleeding appeared and the emergency operation was performed. The bleeding point was successfully coagulated with electrocautery. The postoperative course was uneventful.