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我科1989年9月～1992年10月共收治自发性气胸258例,行胸腔闭式引流术217例次,发生肺复张性肺水肿6例.结合文献复习如下.1 临床资料男5例,女1例,均为一侧气胸,平均年龄54岁(34～70岁).肺萎陷时间3～21天,平均10.5天.肺萎陷程度均在50%以上.基础疾病有肺结核、慢性支气管炎、慢性阻塞性肺气肿等,6例病人均否认有心脏病史(见附表).所有病例人院后均行胸腔闭式引流术排气,例6加用低负压(-1.5kPa)抽吸.结果6例病人先后于手术排气后即刻至6小时内出现频繁咳嗽,咳泡沫痰(例1和例5为粉红色泡沫样痰)、气急加重、呼吸表浅、口唇紫绀等症状.听诊气胸患侧呼吸音恢复,但有广泛
Our department from September 1989 to October 1992 were treated 258 cases of spontaneous pneumothorax, line of thoracic drainage in 217 cases, lung recurrent pulmonary edema occurred in 6. Combined with the literature review as follows.1 Clinical data of 5 males , Female 1, both side of the pneumothorax, mean age 54 years (34 to 70 years old) .The lung collapse time of 3 to 21 days, an average of 10.5 days.The degree of lung collapse are more than 50% .The underlying diseases are tuberculosis, Chronic bronchitis, chronic obstructive pulmonary emphysema, 6 patients were denied having a history of heart disease (see table) .All patients were discharged after thoracic drainage in hospital, Example 6 plus low negative pressure (- 1.5kPa) .Results Six patients had frequent cough, cough and sputum of sputum (pink foam-like sputum in cases 1 and 5) immediately after the operation was discharged, the shortness of breath, superficial breathing and lip Cyanosis and other symptoms .Auscultation pneumothorax ipsilateral respiratory sound recovery, but a wide range