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患者,男,67岁。以气促、胸闷半小时入院。活动中突然起病,气促、胸闷呈进行性加重,伴咳嗽、咯少许白粘痰。急诊诊断“张力性气胸”,左锁中线第2肋间处插入9号注射针头,气促有所缓解。胸透示左侧气胸,肺压缩90%,右肺肺纹理增多、紊乱、肺透亮度增强。既往有慢性支气管炎病史。查体:T36.5℃,P120次/min,R36次/min,BP12/8kPa。神志清,呼吸急促,颜面、口唇发绀,颈静脉充盈,气
Patient, male, 67 years old. To shortness of breath, chest tightness, half an hour to hospital. Sudden onset of activity, shortness of breath, chest tightness was progressive increase, with cough, slightly white phlegm. Emergency diagnosis of “tension pneumothorax,” the middle of the left lock into the second intercostal 9 injection needle, shortness of breath has been alleviated. Thoracic revealed left pneumothorax, 90% of lung compression, lung lung texture increased, disorder, enhanced lung transparency. Past history of chronic bronchitis. Physical examination: T36.5 ℃, P120 times / min, R36 times / min, BP12 / 8kPa. Consciousness, shortness of breath, face, lips cyanosis, jugular vein filling, gas