ty -jour t1-一名24岁女性JF中的自发性气胸 - 欧洲呼吸杂志Au -Gambini，C.Au -Rossi，U。G。Au -Fazio，L.Au -Catrambone，U.Au -Pittaluga，G。Au -au -tomà，P.Au -Rossi，P.Au -Rossi，G。A. A. Y1 - Y1 - 2005/2005/03/01 UR -HTTP -HTTP -HTTP：//www.qdcxjkg.com/content/25/3/575.abstract N2- 2003年5月在意大利热那亚的圣马蒂诺医院评估了一名24岁的高加索女性，以“突然出现”发作”胸痛和非生产性咳嗽。过去的病史的特征是出现频繁的头痛。该患者从6-20岁开始打竞争性网球，在比赛退休后，在过去的4年中吸烟（0.5 Pack·Day -1）。该患者是无效的，并报告了最后3年中口服避孕药的使用。拒绝任何呼吸症状的建议，包括咳嗽，呼吸急促或运动过程中的身体局限性。入院后，患者没有呼吸困难，体格检查表现出左半胸腔上的呼吸声略有下降。心脏声音正常，没有氰化物，棍棒或水肿。 The abdomen was nondistended, nontender, and without bruits, hepatosplenomagaly or masses. There were no focal neurological findings. The patient had normal body temperature with normal values of blood pressure, pulse and respirations and transcutaneous blood gas determination in room air showed normal arterial oxygen and carbon dioxide tension. A chest radiograph demonstrated the presence of a left-sided pneumothorax. Blood tests were within normal values. After successful chest drainage, the patient was discharged. After a period of 2 weeks, in June 2003, the patient was evaluated in the outpatient clinic at the G. Gaslini Institute, Genoa, Italy, complaining of a persistent mild pain on the left hemithorax. High-resolution computed tomography (HRCT) scans (figs 1a⇓ and b) and pulmonary function tests (fig. 3⇓; table 1⇓) were performed and a follow-up re-evaluation was planned after 6–7 months. The patient did not complain of any symptoms until mid-December 2003, when a sudden onset left-sided chest pain was again experienced along with mild dyspnoea, but a chest radiograph failed to demonstrate the … ER -