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气胸可分为三种:人工气胸,创伤性气胸和自发性气胸。本文结合病例重点讨论内科范畴自发性气胸不同类型的处理。 一、闭合型气胸 李××,男,19岁,住院号143497。因自发性气胸住院,经体检和拍胸片,考虑为闭合型。病人在院外曾发生一次气胸,经作闭式引流治愈。入院后,经休息、抽气,肺很快复张,但不久复发,故转胸外科手术治疗。术中发现肺表面有许多小气肿泡(直径1厘米左右),然后逐个结扎,痊愈出院。
Pneumothorax can be divided into three types: artificial pneumothorax, traumatic pneumothorax and spontaneous pneumothorax. This article focuses on the case focus on different types of internal medical treatment of spontaneous pneumothorax. First, closed type pneumothorax Lee ×, male, 19 years old, hospital number 143497. Due to spontaneous pneumothorax hospitalized, the physical examination and chest radiograph, consider closed type. The patient had a pneumothorax outside the hospital and was cured by closed drainage. After admission, after a rest, aspiration, the lungs soon reappear, but soon relapse, so thoracic surgery. Surgery found that there are many on the surface of the lungs of small air bubbles (diameter of about 1 cm), and then one by one ligation, cured and discharged.