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作者报道4例叶间气胸,类似病例迄今未引起注意和报导。本组有3例原为自发性气胸,经作胸膜剥离术后,出现叶间气胸。发病机制可能为脏、壁层胸膜粘连,气体不能逸入胸腔所致。其中2例于术后迅速出现叶间气胸,以后自行吸收;1例于术后5年反复出现叶间气胸5次。上述3例均迅速吸收,未再手术。本组另1例幼时有支气管肺疾患和哮喘病史,发生叶间气胸时表现为气管炎伴胸痛,咳粘脓痰和血痰,同时出现自发性纵隔气肿、右侧小叶间气胸和皮下气肿。其发病机制可能因有胸膜粘连,故当肺泡破裂后,气体沿支气管-血管鞘向纵隔及皮下延伸。胸部X线特点为正、侧位片上可见局部透亮区,
The authors report 4 cases of pneumothorax between leaves, and so far no cases of similar attention and reported. This group had 3 cases of spontaneous pneumothorax, by the pleural dissection, the emergence of pneumothorax between the leaves. Pathogenesis may be dirty, parietal pleural adhesions, gas can not escape into the chest caused. Two of them showed pneumothorax rapidly after the operation and absorbed themselves afterwards. One case showed repeated pneumothorax 5 times after 5 years. The three cases were rapidly absorbed, no further surgery. The other 1 case of childhood bronchopulmonary disease and asthma history, the occurrence of pneumothorax when the performance of tracheitis with chest pain, cough purulent sputum and bloody sputum, while spontaneous mediastinal emphysema, right interlobular pneumothorax and subcutaneous gas swollen. Its pathogenesis may be due to pleural adhesions, so when the alveolar rupture, the gas along the bronchus - vascular sheath to the mediastinum and subcutaneous extension. Chest X-ray features are positive, lateral translucent area can be seen on the film,