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28 patients with COPD and spontaneous pneumothorax

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Series 8 2 overflow embroidery and value of the Chronic Obstructive Pulmonary Disease patients with spontaneous pneumothorax f Bai Bing Lin Luo Sun Jingfeng a hospital a strong clinical data at the Xiao Du Guiqin a, fR / '1 .1 General information from 1986 to 1990, our hospital with spontaneous pneumothorax 45 cases were confirmed by x ray. COPD, 28 of them down. Minimum age of l9 years old, maximum 72 years. Average 52.3 years old I. 2 The main symptoms of COPD and pneumothorax in addition to a primary disease, typical clinical symptoms, chest pain l3 side. Difficulty in breathing accompanied by irritability, nervousness, sweating l4 l8 shift down the trachea down}}} single chest full of l3 down. Hitomi j alveolar breath sounds breath sounds I lost 20 decreased down 8 down} heartache in this group of lung misdiagnosed as symptoms of back I add another l l misdiagnosed as cardiac arrhythmia, frequent premature ventricular contractions I cases. 3 cases were misdiagnosed as angina pectoris due to coronary heart disease. 2 cure pulmonary atrophy generally less than 20 shall be limited to just activities, bed rest} if accompanied by pulmonary inflammation, which can use the anti-inflammatory drugs, usually 2 to 4 weeks of gas can be absorbed. If the lungs are compressed more than 20, in general, repeated extraction (each volume is not dry 800ml, 8, the exhaust is best to use needles to prevent the pumping too fast, yu} 【every swing or reexpansion pulmonary edema) . If a few days after the active treatment did not improve, could use a continuous negative pressure exhaust method. 28 patients admitted to our treatment of the situation, thoracentesis exhaust line 25 back, 3 cases of continuous negative pressure exhaust, have achieved good results. Of course, the use of these therapies must be combined with anti-inflammatory cough, asthma medication. 3 determine the efficacy of standards and results'}, Jilin Medical Information 9 of 1996, according to chest x-ray findings of pneumothorax is to determine the most effective treatment for some. Lung and chest wall in the compressed gas area between the disappearance of a transparent, visible markings to determine where the standard cure pneumothorax. Results: 28 cases of pneumothorax, cure, 26 down, 2 died down. I died of respiratory and circulatory failure due to pulmonary heart disease other I} recurrent pneumothorax cases, after numerous abortive closed thoracic arch symptomatic treatment of patients and antibiotics-free technology, died of septic shock and respiratory failure. 4 to discuss COPD and pneumothorax sudden increase in dyspnea and irritating cough, chest pain and ipsilateral to highlight the features. COPD has emerged as chronic lung inflammation and fibrosis, decreased lung compliance, pulmonary obstructive ventilatory dysfunction, when there is pneumothorax, but also combined with restrictive ventilatory dysfunction, the more the already limited lung capacity decreased Even if the compressed lung tissue 30 below, may appear extreme difficulty breathing, non-common disease caused by breathing difficulties comparable. When the lung tissue compression of 30 or more, there will be irritability, sweating, respiratory distress, or even shock, coma, respiratory failure and death. When the side of the chest pad after the erection of Church Central Hospital, Lin Zheng Huiqing k Ⅳ, · Luya acute thyroiditis (referred to as methylene inflammation) also known as acute non-suppurative thyroiditis, granulomatous thyroiditis, giant cell thyroiditis, etc. should be Note the following diseases were differentiated from upper respiratory infection ①: None of thyroid cancer and other local signs and symptoms, thyroid function tests normal I @ acute suppurative thyroiditis: serious condition, often recent trauma or other body parts of thyroid infection, thyroid local swelling, heat pain was laboratory leukocytes and neutrophils significantly increased efficacy of antibiotic tangled significant fluctuations from time to time a sense of festering, pus appears puncture can confirm the diagnosis crossing} @ t hyperthyroidism with diffuse thyroid enlargement However, the soft texture of the saddle, and thyroid isotope scan their uptake in orderly, proactive fatigue, fear Ling drowsiness, dry skin, thick, loss of appetite and rapid weight gain and other symptoms. pathogenesis of slow, long duration, no heat and more painless goiter, thyroid mass was kind of hard rubber. often misdiagnosed and delayed treatment , a lower secondary system functions t cause serious damage to other organs. Some misdiagnosed as adenoma, or cyst rupture, and more gather in force after the event occurred a natural bristle 』● ● Li