论文部分内容阅读
气胸是常见的肺科疾病,有时症状险恶,必须立即处理。2004年6月～2005年5月期间我们应用Seldinger 技术于气胸的胸腔闭式引流,其方法简单安全,有效快捷,可单人操作,无严重并发症,取得了良好的效果。1 资料与方法1.1 一般资料入选的18例患者,均为 ICU 住院的危重病人,经过体征、胸片等检查明确诊断为气胸患者。18例患者中,男14例,女4例,年龄为47～75岁。外伤性气胸4例,自发性气胸14例。病人均有呼吸困难、发绀等缺氧症状、体征,其中伴有不同程度的肺性脑病4例,伴有低血压2例,伴有心律失常2例,常规抽气不能缓解症状。
Pneumothorax is a common lung disease, sometimes dangerous, must be dealt with immediately. From June 2004 to May 2005, we applied Seldinger technique to closed thoracic drainage of pneumothorax. The method is simple and safe, effective and quick, and can be operated by one person without serious complications and achieved good results. 1 Materials and Methods 1.1 General Information Selected 18 patients, all critically ill ICU hospitalized patients, after signs, chest X-ray examination and other tests were clearly diagnosed as pneumothorax patients. Eighteen patients, 14 males and 4 females, aged 47 to 75 years old. Traumatic pneumothorax in 4 cases, 14 cases of spontaneous pneumothorax. Patients had dyspnea, cyanosis and other symptoms and signs of hypoxia, accompanied by varying degrees of pulmonary encephalopathy in 4 cases, associated with hypotension in 2 cases, accompanied by arrhythmia in 2 cases, conventional aspiration can not relieve symptoms.