论文部分内容阅读
患者,女,46岁,反复发作性喘息8年,每次发病均因受凉、感冒后出现咳嗽、喘息、胸闷,多次诊断为支气管哮喘,给予氨茶碱、抗感染等处理后,症状暂时缓解。因再次发作而入院,查:意识清楚,烦燥不安,口唇发绀,双肺布满干湿性罗音,有明显吸气困难的三凹征,指脉血氧饱和度为73％,CT示气管内肿物,气管阻塞3/4以上,双下肺阻塞性肺炎。急诊行右胸探查术,术中见肿物位于气管隆突以上10mm,气管膜部粘膜下层,肿瘤大小约为20mm×30mm,质软,边界清楚,手术予以切除。术后切开气
Patients, females, 46 years old, with recurrent wheezing for 8 years, each affected by coldness, cough, wheezing, chest tightness after flu, repeated diagnosis of bronchial asthma, treatment with aminophylline, anti-infection, etc. ease. He was admitted to the hospital again because of seizures. The investigation was clear-minded, anxious and uneasy, his lips were cyanotic, his lungs were covered with wet and dry rales, and there were obvious signs of inhalation. The blood oxygen saturation was 73%. CT showed Tracheal masses, tracheal obstruction more than 3/4, double-lower lung obstructive pneumonia. In the emergency department, right chest exploration was performed. During the operation, the tumor was located 10 mm above the tracheal carina and submucosa in the trachea. The size of the tumor was approximately 20 mm × 30 mm. The mass was soft and the boundary was clear. Cut gas after surgery