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1 临床资料患者男性,18岁,入伍4个月的新战士。2006年4月16日第3次跳伞着陆后突感右侧胸部压迫性疼痛,深呼吸时疼痛加重,胸闷、气促不明显,无咳嗽、咯血、发热、畏寒和盗汗等症状。体温36.5℃,脉搏120次/min,呼吸38次/min,血压120/70 mm Hg,血常规检查正常。全身皮肤无损伤。气管居中,右胸壁无膨隆,肋间隙存在,右肺呼吸功能稍减弱,叩诊无鼓音,听诊双肺呼吸音清晰,未闻及于、湿性啰音。心界不大,心率120次/min,心律齐,未闻及病理性杂音。X 线片提示:右侧少量气胸,右肺轻度压迫。
1 Clinical data Male patients, 18 years old, four months of recruiting new soldiers. On April 16, 2006, after the third parachute landing, the right chest compressive pain, deep breath pain, chest tightness, shortness of breath is not obvious, no cough, hemoptysis, fever, chills and night sweats and other symptoms. Body temperature 36.5 ℃, pulse 120 beats / min, breathing 38 beats / min, blood pressure 120/70 mm Hg, blood tests were normal. Whole body skin without damage. The middle of the trachea, the right chest wall without bulging, intercostal space exists, the right lung respiratory function slightly weakened, percussion without drum sound, auscultation of lung breath sounds clear, unheard of, wet rales. Heart is not big, heart rate 120 beats / min, heart rate Qi, no smell and pathological murmur. X-ray tips: a small amount of pneumothorax right, right lung mild oppression.