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作者报告2例自发性气胸患者,经作肋间引流排气后,发生同侧肺水肿。并就文献报道的共12例肺复张后肺水肿,加以讨论,以引起重视。早期症状为抽气时或抽气后不久,即出现咳嗽和胸闷,以后呼吸困难逐渐加重。临床发现气胸存在时间超过3天以上,并且一次抽出大量气体时,最易发生同侧肺复张后肺水肿。自胸腔排出气体的速度,仅是发生肺水肿的部份原因。
The authors report 2 cases of spontaneous pneumothorax patients, after intercostal drainage of exhaust, ipsilateral pulmonary edema occurred. And reported in the literature of 12 cases of pulmonary edema after lung recruitment, to be discussed in order to attract attention. Early symptoms of aspiration or shortly after pumping, that is, cough and chest tightness, respiratory dysfunction gradually aggravated. Clinical findings pneumothorax exist more than 3 days, and a large number of gas extracted, the most likely to occur after ipsilateral pulmonary reexpansion of pulmonary edema. The rate of gas evacuation from the thorax is only part of the cause of pulmonary edema.