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自发性气胸是内科常见急诊之一,一般处理通常是穿刺抽气、胸腔插管水封瓶闭式引流等。本文6例病人,笔者试采用硬膜外导管胸腔引流治疗,现将治疗体会报道如下: 1 一般资料 本组病人共6例,男4例,女2例,年龄17~40岁。其中伴肺结核3例,呼吸道感染2例,支气管哮喘1例。气胸性质、部位:交通型2例,张力型4例;右侧4例,左侧2例。肺部压缩面积30~50% 4例,>50%1例,>70%1例。
Spontaneous pneumothorax is one of the common medical emergency, the general treatment is usually puncture aspiration, pleural intubation, water-sealed bottle closed drainage. This article six patients, I try to use the epidural catheter chest drainage, now the treatment experience are reported as follows: 1 General Information The group of patients in 6 cases, 4 males and 2 females, aged 17 to 40 years. Including 3 cases of tuberculosis, respiratory infections in 2 cases, bronchial asthma in 1 case. Pneumothorax nature, site: traffic type in 2 cases, tension type in 4 cases; right in 4 cases, left in 2 cases. Lung compression area 30 ~ 50% in 4 cases,> 50% in 1 case,> 70% in 1 case.