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临床资料患者,男,70岁,因左侧胸痛、胸闷5d入院。11个月前曾患“左侧自发性气胸”。入院后查体:右肺呼吸音清晰,左肺未闻及呼吸音。胸部X线片检查示:左侧气胸。入院后即刻在局部麻醉下行左侧胸腔闭式引流术。胸部CT检查示:左侧气胸,双肺多发肺大泡,慢性支气管炎,肺气肿(图1)。患者在全身麻醉下经胸腔镜行肺大泡切除、肺修补术。患者右侧90度卧位,取腋中线第7肋间为进镜孔,腋前线
Clinical data Patients, male, 70 years old, due to left chest pain, chest tightness 5d admission. 11 months ago had “left spontaneous pneumothorax ”. After admission examination: the right lung breath sounds clear, the left lung is not heard and breath sounds. Chest X-ray examination showed: left pneumothorax. Immediately after admission, the left thoracic closed drainage was performed under local anesthesia. Chest CT examination showed: the left pneumothorax, multiple pulmonary bullae, chronic bronchitis, emphysema (Figure 1). Under general anesthesia, the patient underwent pneumonectomy and thoracoscopic lung repair. The right side of 90 patients supine position, take the seventh intercostal space into the axillary midline axillary line