急危重自发性气胸与多种内科危重常见病临床表现相似,病势凶险,若不及时处理,在尚未安置胸腔导管接水封瓶引流前就有5%的患者死亡。我院急诊室1997年至1999年抢救病情不允许再搬动作X线检查确诊的急危重气胸患者15例,全部抢救成功,报告如下。1 临床资料1.1 一般资料 15例均有肺结核基础病,占同期急诊室气胸病人的14.2%,男10例,女5例,年龄34～67岁,≤40岁2例,41～60岁9例,≥60岁4例。男性3例及女性1例并发纵隔气肿。1.2 临床表现诱因:剧烈咳嗽9例,过度用力4例,无特殊诱因2例。症状与体征:急诊时,4例有休克表现,2例意识模糊,均有大汗、唇甲发绀、胸闷、胸痛、极度呼吸困难、喘憋不能顺利 Acute critical spontaneous pneumothorax and a variety of medical common clinical manifestations of critical illness is similar to the risk of dangerous, if not promptly treated, before the placement of the thoracic catheter connected water bottle sealing drainage there are 5% of patients died. Our hospital emergency room from 1997 to 1999 to rescue the disease is not allowed to move again for X-ray examination confirmed 15 cases of critically ill patients with pneumothorax, all the successful rescue, the report is as follows. 1 Clinical data 1.1 General Information 15 cases of tuberculosis are the basis of the disease, accounting for the same period emergency room pneumothorax patients 14.2%, 10 males and 5 females, aged 34 to 67 years old, ≤ 40 years in 2 cases, 41 to 60 years in 9 cases , ≥ 60 years in 4 cases. Three males and one females were complicated with mediastinal emphysema. 1.2 Clinical manifestations incentives: severe cough in 9 cases, excessive force in 4 cases, no special incentive in 2 cases. Symptoms and signs: emergency, 4 cases of shock performance, 2 cases of confusion, both sweat, cyanotic lip, chest tightness, chest pain, extreme difficulty in breathing, wheezing can not be smooth