论文部分内容阅读
〔例1〕患者男,34岁。入院前3天在休息时突感右侧胸痛,气促,呼吸困难,在当地医院诊断为“右侧自发性气胸”,行插粗针简易排气装置(针尾缚—橡皮指套)后转送我院。入院后体查有明显气胸体征,Χ线检查示:肺组织压缩萎陷达90％以上。入院6天内先后3次穿刺抽气,抽气量在600～1000mL之间,每次抽气后,气急症状好转,但不久又见加重,Χ线透视检查,未见肺组织复张,积气减少。遂于入院第8天在局麻下用腹腔穿刺套管针于右锁骨中线第2
[Example 1] Patient Male, 34 years old. 3 days before admission at the break suddenly felt the right side of the chest pain, shortness of breath, difficulty breathing, diagnosed in the local hospital as “right spontaneous pneumothorax”, intercalating thick needle simple exhaust device (needle tail tie - eraser) Forwarded to our hospital. Physical examination after admission obvious signs of pneumothorax, chest X-ray examination showed: lung compression collapse of more than 90%. Admitted to hospital 6 times within three consecutive puncture aspirated, pumping volume between 600 ~ 1000mL, after each pumping, the symptoms of shortness of breath improved, but soon see the aggravate, the X-ray fluoroscopy, no lung tissue replacement, decreased gas accumulation . Then in the first 8 days of admission under local anesthesia with a paracentesis puncture needle in the middle of the right clavicle line 2