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男,33岁。主因背部外伤4个月,伴胸憋、气短,加重20余天转入我院。该病人缘于4个月前(1998年6月)不慎在劳动时被木板直接伤及背部,经X线检查诊断为“第11胸椎压缩性骨折”,住院治疗,于第5天出现胸憋、气短,急查胸片示“血胸”,经5次胸穿抽出约3000ml血性液,后好转出院。出院不久再次出现胸憋、气短,再次住院经2次胸穿抽出约1000ml血性液,但仍无好转,遂放置闭式引流。经查CT示:凝固性血胸。随后转入我院。该患10余年吸烟史(25支/d),无咳痰、乏力及消瘦史,自外伤后出现咳嗽,咳少量白色粘痰,无咳血。入我院查体:T 36.2,P 116,R 28,BP 98/53mmHg。气管左偏,右侧触觉语颤、呼吸音消失。腹部
Male, 33 years old. The main cause of back trauma 4 months, with chest choke, shortness of breath, increased more than 20 days transferred to our hospital. The patient was diagnosed as having “Computed thoracic vertebral compression fractures” by X-ray examination 4 months prior (June 1998) when he was directly injured by the wooden board during labor and was hospitalized. Chest appeared on the 5th day Bie, shortness of breath, acute chest X-ray showed “hemothorax”, after 5 chest wear out about 3000ml bloody fluid, improved after discharge. Shortly after discharge from the chest again, shortness of breath, once again admitted to the hospital after 2 chest out about 1000ml bloody fluid, but still no improvement, then placed closed drainage. The CT examination showed: coagulation hemothorax. Then transferred to our hospital. The suffering from more than 10 years of smoking history (25 / d), no sputum, fatigue and weight loss history, since the trauma cough, cough and a small amount of white phlegm, no coughing blood. Into our hospital examination: T 36.2, P 116, R 28, BP 98 / 53mmHg. Trachea left deviation, right tactile language, breath sounds disappear. abdomen