论文部分内容阅读
患者男性,54岁。于1984年10月21日,以喘息型支气管炎、慢阻肺、肺内感染入院。经抗炎、平喘等疗法,咳喘明显好转。于11月11日晚无何诱因出现右季肋部疼痛,呈隐痛,随呼吸、咳嗽而加重,但能忍受。12日下午4时许,右季肋部疼痛加重,并感右上胸部及右颈部疼痛,伴胸腔闷胀感,气短,不能平卧。查体:体温36.0℃,脉搏100/min,血压16/10kPa。神志清,语言流利,呼吸略促,口辱轻度发绀,半卧位。五宫正,颈部两侧明显肿胀,并有握雪感及握雪音。肺
Male patient, 54 years old. On October 21, 1984, asthmatic bronchitis, chronic obstructive pulmonary disease, pulmonary infection admitted. After anti-inflammatory, anti-asthma therapy, cough significantly improved. On the evening of November 11 there is no incentive to appear right quarter rib pain, showing pain, with breathing, cough and aggravate, but can endure. At around 4pm on the 12th, the pain in the right quarter was aggravated and the upper right chest and right neck were felt with chest tightness and shortness of breath. They could not lie down. Physical examination: body temperature 36.0 ℃, pulse 100 / min, blood pressure 16 / 10kPa. Consciousness, fluent language, breathing a little urgency, mild cyanosis insults, semi-recumbent position. Wu Gong is positive, obvious swelling on both sides of the neck, and hold a sense of snow and hold snow sound. lung