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左侧气胸可出现Hamman音已为人们所认识,但自发性气胸的另一种异常声音一呱嗒音尚未见报道,我们在121例次自发性气胸中发现8例有此异常声音。 8例均为男性矽肺结核病人。年龄38～54岁,平均44岁。气胸发生右侧3例,左侧5例,除1例肺压缩面积为40%外,其余均为5～20%,平均18%。全部病例随着气胸的吸收,呱嗒音亦消失。呱嗒音的临床特点是一般发生于肺压缩面积较小的气胸,亦可见于右侧气胸(本组3例)。它呼气时出现,吸气时消失,与心率无关。平卧或转动躯体时明显,坐位减轻,屏气时即消失。声音性质为“呱嗒、呱嗒”声,比较响亮以至不用听诊器亦可听到。此时如用手掌触摸患侧胸壁亦可感觉到震
The Hamman tone of the left pneumothorax has been recognized, but another abnormal voice of the spontaneous pneumothorax has not been reported yet. We found that 8 of 121 cases of spontaneous pneumothorax had this abnormal sound. 8 cases were male silicosis patients. Age 38 to 54 years old, average 44 years old. Pneumothorax occurred in 3 cases on the right side and 5 cases on the left side. Except for 1 case, the lung compression area was 40%, the rest were 5-20% with an average of 18%. With the absorption of pneumothorax in all cases, Gu Ling also disappeared. The clinical characteristics of Gu Ling tone is generally occurs in the smaller lung compression area of the pneumothorax, pneumothorax can also be found in the right side (3 patients in this group). It appears when exhaled, disappear when inhaled, has nothing to do with the heart rate. Obvious when lying or turning the body, sitting to reduce the breath that disappear. The nature of the sound is “Gua Dag, Gua Dag” sound, louis vuitton pas cher At this point, if you touch the affected side of the chest wall can feel the earthquake