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气胸 浙医二院 呼吸科 王 凯. 一、概述. 气体进入胸膜腔,造成积气状态,称为 气胸( pneumothorax ) 。 正常胸腔内 没有 气体,胸腔内出现气体仅在三种情况下发生: ⑴肺泡和胸腔之间形成破口 ⑵胸壁创伤产生与胸腔的交通 ⑶胸腔内有产气的微生物. 病因和发病机制 pathogen and machanism. 一、继发性自发性气胸 1 、肺结核 (pulmonary tuberculosis) - PowerPoint PPT Presentation
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pneumothorax
pathogen and machanism 1(pulmonary tuberculosis)2(chronic obstructive pulmonary disease)3(lung cancer)4(pulmonary abscess)56
1X(pleura bleb)23
(inducement)
123
1
2
3
1
2
3
123
1210 cmH2O20cmH2O
120
123
X
(sign)
X---1234
56
CTX
1 X
2 1/435%1/350%1/265%
(20 %4040
(diagnoses)1symptoms)2 (signs)3X---
1(athma) (obstructive emphysema)X2(miocardial infarction)3(pulmonary embolism)
4(emphysematous)5
treatment(goal)>;;>;
(tension pneumothorax )1234
4--5X1--2cm1--2cmH2O>50cm,
1--2
-8 -12cmH2O2--3
50%15--2024h2--3dX
1
2Hamman
3X4
*