tension pneumothorax

Tension pneumothorax was commoner, resulting in a higher mortality ( 7/ 58).

气胸类型以张力性居多，病死率高（12%）。

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Tension pneumothorax should be immediately decompressed with a catheter inserted into the second intercostal space, midclavicular line.

该手术可以在床边进行。张力性气胸应立即在第二肋间隙、锁骨中线插管降压。

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Results Tension pneumothorax was most common in elderly patients with SP. The common inducements were chronic obstructive pulmonary disease ( COPD), pulmonary tuberculosis and lung cancer.

结果38例老年SP以张力型气胸最常见，慢性阻塞性肺病（COPD）、肺结核、肺癌为引起老年SP常见病因，其中以COPD最为多见。

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Dyspnea and the shifting of trachea to the contralateral side were the dominant clinical manifestations. 18 patients ( 47.37%) suffered from tension pneumothorax.

临床表现以呼吸困难，气管移向健侧为多，张力型18例（47.37%）。

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Result 25 cases were cured and cure rate was 96.1% in this group. One case died during operation because of tension pneumothorax was not be corrected.

结果本组25例治愈出院，因张力性气胸未能及时纠正术中死亡1例。

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One patient developed tension pneumothorax, 13 cases had mild symptoms requiring no treatment.

除1例胸部穿刺发生张力性气胸外，余13例轻微并发症不需特殊处理。

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Conclusions Application of ADI allows faster healing and safer and easier operation, and causes fewer complications and less pain with shortened hospital stay as compared with conventional therapy for open and tension pneumothorax.

结论该气胸治疗设施治疗效果佳，与粗管胸腔闭式引流术治疗法相比具有安全，愈合快，操作简单，微创、痛苦及并发症少，住院时间短等优点，有推广应用前景。

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Automatic decompression with micro-catheter for open and tension pneumothorax

小导管协助减压治疗交通及张力性气胸

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The example seen here is a "tension" pneumothorax shifting the mediastinum, because a "ball-valve" air leak is increasing the air in the right chest cavity.

图为张力性气胸，因呼吸时活瓣样的结构使气体漏入到胸膜腔的越来越多，纵膈移位。

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Results Pneumothorax occurred in 7 cases ( 0.69%); among them, 4 cases were cured by thoracic capacity puncture pumping air, and 3 cases with tension pneumothorax were cured by thoracic capacity close drainage for 2~ 3 days.

结果7例（0.69%）并发气胸，4例经胸腔穿刺抽气后治愈，3例为张力性气胸，行简易胸腔闭式引流2~3d后治愈。

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Tension pneumothorax should be immediately decompressed a catheter inserted into the second intercostal space, midclavicular line.

该手术可以在床边进行.张力性气胸应立即在第二肋间隙 、 锁骨中线插管降压.

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Causes of disease for salvage were as follows: 50 cases of circulation system, 133 of respiration system ( including 34 heavy hemoptysis and 40 tension pneumothorax), 12 of central nerve system disease, 5 intoxication and 31 other systemic diseases.

呼吸系统方面133例（其中大咯血34例，张力性气胸40例等）；中枢神经系统疾病12例；

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Herniation of abdominal viscera into the thorax following traumatic diaphragmatic rupture can simulate acute tension pneumothorax.

外伤性横膈破裂后,腹内?器进到胸腔会造成和急性压力性气胸相似的症状.

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Nursing care of 100 cases with tension pneumothorax treated with fine catheter chest indwelling drainage device

细导管胸置管引流装置用于治疗张力性气胸100例的护理

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Conclusion The key points of anesthetic management for lung bullae surgery with video-assisted thoracoscopy were stable anesthesia, correct position of DLT, ventilation management of OLV, prevention and treatment of tension pneumothorax and hypoxemia.

结论电视胸腔镜下肺大泡手术的麻醉管理应着重强调麻醉平稳、防治张力性气胸、正确定位双腔气管导管、加强单肺通气的呼吸管理和防治低氧血症。

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One Case Report of Tension Pneumothorax Caused by Contusion and Rupture of Lung by Forensic Expertise

肺挫伤及肺破裂引起张力性气胸1例法医学鉴定

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