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患者男性,21岁。因雨路滑从山上摔下,15分钟后自觉胸闷不适,右侧胸痛伴刺激性咳嗽急诊来院。查体:面色苍白,冷汗不止,端坐呼吸,痛苦病容。R30次/分,P126次/分,Bp10.5/kPa,脉搏细速,右胸可见4×5cm~2淤血斑,右胸上部叩诊呈鼓音,四肋下叩诊浊音呼吸音消失。X线所见:右胸第四肋为界可见气液平面,右肺被压缩大部。WBC6.0×10~9/L,急转外院胸穿抽气伴有血性液体住院。入院后立即行胸腔闭式引流,抽出血性积液1200ml,气体约2500
Patient male, 21 years old. Falls from the hill due to rain slippery, conscious chest tightness after 15 minutes discomfort, right chest pain with irritating cough emergency hospital. Physical examination: pale, more than cold sweat, sit and breathe, suffering sick. R30 beats / min, P126 beats / min, Bp10.5 / kPa, fine pulse rate, the right chest visible 4 × 5cm ~ 2 congestion spots, the right upper chest percussion was Drum sound, peristaltic percussion turbid tone breath sounds disappear. X-ray findings: the fourth rib of the right chest can be seen as the world gas-liquid level, most of the right lung is compressed. WBC6.0 × 10 ~ 9 / L, acute external thoracentesis with aspiration with bloody fluid hospitalization. Immediately after admission thoracic closed drainage, pumping out bloody fluid 1200ml, about 2500 gas