108 Catamenial Pneumothorax Alifano Liu et al., 2006; Mukhopadyay & Solomonsz, 2008; Oger, Alifano, Regnaed, & Gompel, 2006 Joseph & Sah

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1 107 月經性氣胸 與月經週期有關的罕見自發性氣胸 莊紫雲 1 鍾玉珠 2 葉美玲 3* 1 台北榮民總醫院護理部護理師暨國立臺北護理健康大學護理研究所研究生 2 元培科技大學護理系助理教授 3 國立臺北護理健康大學護理系教授 摘要 : 月經性氣胸是一種罕見的臨床情況, 其臨床診斷也相當困難, 通常發生於三十至四十歲之育齡期 女性 氣胸出現於經期第一天的前或後 72 小時 內, 且 91.7% 個案發生在右側 然而其精確的發 生率 病因機轉及最理想的處理方式仍然不清 楚 個案因經歷多次復發 長期治療及診斷過 程, 承受極大的心理壓力 因此, 本篇文章介 紹月經性氣胸常見的病因及症狀 診斷及治療方 式 健康問題及護理等議題, 提供臨床護理人員 了解此罕見臨床情況及照護參考 關鍵詞 : 月經性氣胸 自發性氣胸 catamenial pneumothorax, CPT 15~54 Korom et al., 2004; Peikert, Gillespie, & Cassivi, ~40 Hou, Chang, Hsu, Kao, & Ding, 2006; Papafragaki & Concannon, 2008) % Mukhopadhyay & Solomonsz, % Korom et al., Garg & Gray, 2008 Korom et al., 2004 Maurer Schaal Mendez 1958 Lillington Mitchell Wood 1972 Mukhopadhyay & Solomonsz, 2008 Guang, Bee, Sen, Sheng, & Dah, 2006; Liu et al., 2006 Papafragaki Concannon 2008 piston effect right paracolic gutter subphrenic space prostaglandin F *

2 108 Catamenial Pneumothorax Alifano Liu et al., 2006; Mukhopadyay & Solomonsz, 2008; Oger, Alifano, Regnaed, & Gompel, 2006 Joseph & Sahn, 1996 Papafragaki & Concannon, Mukhopadhyay & Solomonsz, 2008 Papafragaki & Concannon, % Joseph & Sahn, 1996 Wang, Kuo, Kuo, & Luh, 2000 X Papafragaki & Concannon, 2008 video-assissed thoracoscopy Alifano, 2010 Korom % 21% 13% Ganadotropin- Releasing Hormone, GnRH Garg & Gray, 2008; Papafragaki & Concannon, 2008; Peikert et al., 2005 Marshall, Ahmed, Kucharczuk, Kaiser, & Shrager, 2005 Oger 2006talc pleurodesis danazol GnRH leuprolide acetate progestative medroxyprogesterone acetate Huang, Cheng, Lee, & Yu, 2003 GnRH danazol Mukhopadhyay & Solomonsz, Huang et al., Papafragaki & Concannon, 2008) Roman & Mercado, 2006 Roman, Weinstein, & Macaluso, 2003 Roman & Mercado, 2006; Roman et al., 2003

3 109 2 Roman et al., 2003 Roman & Mercado, L/min 24 Roman et al., 2003 incentive spirometer; Roman & Mercado, 2006 Roman et al., 2003 Roden & Sturman, Visual Analogue Scale, VAS) Roman & Mercado, 2006 Roden & Sturman, 2009 Olgac Aydogmus Mulazimoglu Kutlu CRP 30 Petroudi, 2009 McGrandles & McCaig, 2010 Garg & Gray, 2008 leuprolide acetate 6 Papafragaki & Concannon, 2008 Roman et al., 2003 Richards, Johnson, Sparks, & Emerson, Alifano, M. (2010). Catamenial pneumothorax. Current Opinion in Pulmonary Medicine, 16(4), Alifano, M., Roth, T., Broet, S. C., Schussler, O., Magdeleinat, P., & Regnard, J. F. (2003). Catamenial pneumothorax: A prospective study. Chest, 124(3), Garg, V., & Gray, B. M. (2008). An unusual case of catemenial pneumothorax. Journal of Obstetrics and Gynaecology, 28(3),

4 110 Catamenial Pneumothorax Guang, Q. H., Bee, S. C., Sen, Z. H., Sheng, P. K., & Dah, C. D. (2006). Catamenial pneumothorax due to pulmonary endometriosis: A case report. Tzu Chi Medicine Journal, 18(4), Hou, G. Q., Chang, B. S., Hsu, S., Kao, S. P., & Ding, D. C. (2006). Catamenial pneumothorax due to pulmonary endometriosis: A case report. Tzu Chi Medical Journal, 18(4), Huang, C. H., Cheng, Y. L., Lee, S. C., & Yu, C. P. (2003). Catamenial pneumothorax caused by diaphragmatic endometriosis. Thoracic Medicine, 18(5), Joseph, J., & Sahn, S. A. (1996). Thoracic endometriosis syndrome: New observations from an analysis of 110 cases. American Journal of Medicine, 100(2), Korom, S., Canyurt, H., Missbach, A., Schneiter, D., Kurrer, M. O., Haller, U., et al. (2004). Catamenial pneumothorax revisited: Clinical approach and systematic review of literature. Journal of Thoracic and Cardiovascular Surgery, 128(4), Lillinton, G. A., Mitchell, S. P., & Wood, G. A. (1972). Catamenial pneumothorax. Journal of the American Medical Association, 219(10), Liu, Y. H., Tu, C. Y., Chen, C. H., Chen, H. J., Shih, C. M., & Chen, C. Y. (2006). Catamenial pneumothorax: An example of a porous diaphragm Case report. Thoracic Medicine, 21(6), Marshall, M. R., Ahmed, Z., Kucharczuk, J. C., Kaiser, L. R., & Shrager, J. B. (2005). Catamenial pneumothorax: Optimal hormonal and surgical management. European Journal of Cardio-Thoracic Surgery, 27(4), Maurer, E. R., Schaal, A., & Mendez, F. (1958). Chronic recurring spontaneous pneumothorax due to endometriosis of the diaphragm. Journal of the American Medical Association, 168(15), McGrandles, A., & McCaig, M. (2010). Diagnosis and management of anxiety in primary care. Nurse Prescribing, 28(1), Mukhopadhyay, A., & Solomonsz, F. A. (2008). Catemenial pneumothorax: A gynaecologists view point. Journal of Obstetrics and Gynaecology, 28(3), Oger, P., Alifano, M., Regnard, J. F., & Gompel, A. (2006). Difficult management of recurrent catamenial pneumothorax. Gynecological Endocrinology, 22(12), Olgac, G., Aydogmus, U., Mulazimoglu, L., & Kutlu, C. A. (2006). Antibiotics are not needed during tube thoracostomy for spontaneous pneumothorax: An observational case study. Retrieved March 14, 2011, from:// Papafragaki, D., & Concannon, L. (2008). Catemenial pneumothorax: A case report and review of the literature. Journal of Women s Health, 17(3), Peikert, T., Gillespie, D. J., & Cassivi, S. D. (2005). Catamenial pneumothorax. Mayo Clinic Proceedings, 80(5), Petroudi, D. (2009). Nosocomial infections and staff hygiene. Journal of Infection in Developing Countries, 3(2), Richards, T., Johnson, J., Sparks, A., & Emerson, H. (2007). The effect of music therapy on patients perception and manifestation of pain, anxiety, and patient satisfaction. Medsurg Nursing, 16(1), Roden, A., & Sturman, E. (2009). Assessment and management of patients with wound-related pain. Nursing Standard, 23(45), Roman, M., & Mercado, D. (2006). Review of chest tube use. Medsurg Nursing, 15(1), Roman, M., Weinstein, A., & Macaluso, S. (2003). Primary spontaneous pneumothorax. Medsurg Nursing, 12(3), Wang, H. C., Kuo, P. H., Kuo, S. H., & Luh, K. T. (2000). Catamenial hemoptysis from tracheobronchial endometriosis: Reappraisal of diagnostic value of bronchoscopy and bronchial brush cytology. Chest, 118(4),

5 111 Catamenial Pneumothorax: A Rare Spontaneous Pneumothorax Associated with the Menstrual Cycle Tzu-Yun Chuang 1 Yu-Chu Chung 2 Mei-Ling Yeh 3 * 1 RN, BSN, Department of Nursing, Taipei Veterans General Hospital and Graduate Student, Graduate Institute of Nursing, National Taipei University of Nursing and Health Science; 2 RN, MSN, Assistant Professor, School of Nursing, Yuanpei University; 3 RN, PhD, Professor, School of Nursing, National Taipei University of Nursing and Health Sciences. Abstract: Catamenial pneumothorax is a rare clinical condition that may be difficult to diagnose. Catamenial pneumothorax is defined as spontaneous pneumothorax that occurs within 72 hours before or after the onset of menstruation. It occurs in the right lung in 91.7% of cases. However, the exact pathogenic mechanism and optimal management of catamenial pneumothorax remain unclear. Patients may suffer extensive psychological stress during prolonged diagnostic and therapeutic interventions and followup. This article discusses common issues related to catamenial pneumothorax pathogenic mechanisms, symptoms, diagnostic and optimal management, health problems, and nursing care, and provides the opinions of nursing staff with actual case experience. Key Words: catamenial pneumothorax, spontaneous pneumothorax. Accepted for publication: August 8, 2011 *Address correspondence to: Mei-Ling Yeh, No. 365, Ming-Te Rd., Peitou District, Taipei City 11219, Taiwan, ROC. Tel: +886 (2) ext. 3317; meiling@ntunhs.edu.tw eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeee 勘誤 58 卷第 4 期第 77 頁左欄倒數第 3 行, 原資料 :Fang Shu 和 Fezer(2010) 年代有誤, 特此更正為 Fang Shu Fezer 2011 同頁右欄第 9 行, 原資料 :(Fang et al., 2011), 其年代有誤, 特此更正為 Fang et al., 2010 eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeee