胸腔镜辅助腋下小切口治疗自发性气胸与血气胸

目的探讨胸腔镜辅助腋下小切口治疗自发性气胸、血气胸的治疗效果。方法回顾性分析28例胸腔镜辅助腋下小切口治疗自发性气胸、血气胸的临床效果,其中自发性气胸16例（57.1%）,血气胸12例（42.9%）。结果手术时间30-120min,平均68min;28例均顺利完成手术,无一例中转开胸,术后2-3d拔除胸腔闭式引流管,住院时间5-11d,平均7d。术后肺全部复张,随访3-18个月无一例复发。结论电视胸腔镜辅助腋下小切口治疗自发性气胸、血气胸具有临床效果好,创伤小、手术视野好、术中探查准确、手术时间短、安全、可靠等优点,是一种治疗自发性气胸、血气胸的优选方法。     

肺吸虫病自发性气胸1例

肺吸虫病又称肺并殖吸虫病 (Ｐａｒａｇｏｎｉｍｉａｓｉｓ) ,为一人兽共患蠕虫病。人因生食 ,或半生食含囊蚴的溪蟹或喇蛄而感染。我国湖南等 2 2个省、自治区、直辖市存在着并殖吸虫自然疫源地或肺吸虫病。以自发性气胸为首发表现的肺吸虫病极易误诊 ,且报道甚少。现将我科诊治的 1例报告如下。病例　患者徐某 ,男 ,19岁 ,因突起胸痛 ,气促 10余天于2 0 0 1年 5月 2 5日入院 (住院号 :4 2 36 2 1)。体格检查 :Ｔ37.2℃ ,Ｒ 2 0次 ｍｉｎ ,右肺语颤减弱 ,叩诊呈鼓音 ,听诊右上肺呼吸音消失 ;左肺及心脏无异常 ,腹平软 ,肝脾未及。周围血象 :ＷＢＣ 5 .     

Coexistence of pneumothorax and chilaiditi sign: A case report

We present a case of 50 year old male patient with coexistence of Pneumothorax and Chilaiditi sign. Chilaiditi sign is an incidental radiographic finding of a usually asymptomatic condition in which a part of intestine is located between the liver and diaphragm; however, the term “Chilaiditi syndrome” is used for symptomatic hepatodiaphragmatic interposition. The patient had no symptoms of abdominal pain, constipation, diarrhea, or emesis. Incidentally, Chilaiditi sign was diagnosed on chest radiography. Pneumothorax is defined as air in the pleural space. Pneumothoraces are classified as spontaneous or traumatic. Spontaneous pneumothorax is labelled as primary when no underlying lung disease is present, or secondary, when it is associated with pre-existing lung disease. Our case is the rare in the literature indicating the coexistence of Chilaiditi sign and pneumothorax.     

自发性气胸

护士长：最近科里收住自发性气胸患者较多，有的病情较重，9床病人病情较特殊，结合他的病情，我们讨论一下自发性气胸的发病与护理。请责任护士介绍病历。