One of patients in our Dept, M, 41y, was diagnosed as Pulmonary Alveolar Protinosis(PAP). And Whole-Lung Lavage was performed by us in operation room this morning. Pulmonary alveolar proteinosis is a rare disease in which a type of protein builds up in the air sacs (alveoli) of the lungs, making breathing difficult. In some cases, the cause of pulmonary alveolar proteinosis is unknown. In others, it is associated with infection or immune deficiency. This rare disorder generally affects people 30 - 50 years old and is seen in men more often than in women.Treatment consists of periodically washing out the protein substance from the lung (whole-lung lavage). A lung transplant may be recommended for certain patients with this disease.

One of my patients, M, 49y, complain of progressive dyspnea and chest pain 1w after trauma, Diagnosis: 1.Traumatic hemopneumothorax (left side) 2. The 4th-6th ribs fracture (left side). After undergoing thoracic close drainage, the severe symptom was relieved.