患者男，64岁。高血压病15年，因咳嗽时实感左侧胸痛、胸闷、气促，而于20分钟后送至我院急诊科。体检：意识模糊，呼吸困难，皮肤湿冷，血压8／3kPa，心率128次／分，面部、颈部皮肤肿胀，捻发感，气管、心脏向右移位，左胸廓膨隆，呼吸运动减弱，叩诊呈鼓音，呼吸音消失，左 Patient male, 64 years old. Hypertension 15 years, because of cough, real left chest pain, chest tightness, shortness of breath, and in 20 minutes to our hospital emergency department. Physical examination: confusion, dyspnea, cold and wet skin, blood pressure 8 / 3kPa, heart rate 128 beats / min, facial and neck skin swelling, sense of twisting, trachea, right heart shift, left thoracic bulge, decreased respiratory activity, percussion Was drum sound, breath sounds disappear, left