论文部分内容阅读
复张后肺水肿是自发性气胸的并发症之一,临床上较少见,现将我院遇到的2例报告如下: 例1,李风山,男,62岁。因慢支并感染、阻塞性肺气肿、肺心病于1996年10月13日收入院。半月后感染控制,下肢浮肿消失,准备出院。于1996年10月28日早8时去厕所时突感憋喘加重,呼吸30次/分,气管右移,左肺叩鼓音,右肺呈过清音。胸透示:慢性支气管炎、肺气肿、左侧气胸、肺压缩达80％。急行空针快速抽气2000ml,患者憋喘减轻,20分钟后出现极度呼吸困难,咳大量白色泡沫样痰,大汗、四肢冷、脉搏细弱、血压80/50mmHg,口唇紫绀,双肺可闻及广泛中水泡音,心电图示窦性心动
Pulmonary edema after re-expansion is one of the complications of spontaneous pneumothorax, clinically rare, now our hospital encountered two cases are as follows: Example 1, Li Fengshan, male, 62 years old. Due to chronic bronchitis and infection, obstructive pulmonary emphysema, pulmonary heart disease in October 13, 1996 income hospital. Half a month after infection control, lower extremity edema disappeared, ready to discharge. On October 28, 1996, when going to the toilet as early as 8:00, the patient had a sudden sensation of breathlessness and wheezing, breathing 30 beats / min. The right trachea shifted to the left lungs and the right lungs were overdone. Chest show: chronic bronchitis, emphysema, left pneumothorax, pulmonary compression up to 80%. Urgent needles rapid aspiration 2000ml, patients with suppressed wheezing, severe dyspnea after 20 minutes, cough a lot of white foam-like sputum, sweat, cold limbs, weak pulse, blood pressure 80 / 50mmHg, cyanotic lips, lungs can be heard In a wide range of blisters, ECG shows sinus heartbeat