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气胸危象是以严重气胸合并有急性呼吸、循环功能障碍为主要表现、危及患者生命的急症,其病死率非常高,Gerd报道为65.5％。现以我科近期气胸危象患者的诊治为例,结合临床实践加以讨论。1 临床资料 患者,男性,74岁。因心悸、呼吸困难、神志恍惚5天于1999年1月10日入院。查体:R 35次/分,P 150次/分,BP 11.5/10kPa。急性危重病容,意识模糊,张口呼吸,皮肤湿冷,指(趾)发绀,两下睑缘、头枕部以下至腹股沟区、骶尾部以上躯干、颈部皮肤肿胀、压痛,有皮下捻发感。唇舌发绀,颈软,气管略左偏。右侧
Pneumothorax crisis is a serious pneumothorax with acute respiratory and circulatory dysfunction as the main manifestation of endangering the lives of patients with a very high case fatality rate, Gerd reported 65.5%. Now the diagnosis and treatment of patients with pneumothorax crisis in our department as an example, with clinical practice to be discussed. 1 clinical data patients, male, 74 years old. Due to heart palpitations, dyspnea, trance 5 days in January 10, 1999 admission. Physical examination: R 35 beats / min, P 150 beats / min, BP 11.5 / 10kPa. Acute critically ill patients, confusion, mouth breathing, cold and wet skin, finger (toe) cyanosis, both under the eyelid, head and neck area below the groin, above the sacrococcygeal trunk, neck skin swelling, tenderness, subcutaneous twist sense. Labial cyanosis, neck soft, trachea slightly left deviation. Right