肺生氣了 氣胸之照護 Pneumothorax

1 1 2013 1 X ( Pneumothorax ) ( ) ( A) ( B) Pneumothorax 19 2013 2013 ( ) ( ) ( ) ( ) (Spontaneous) 1.

2 9 ( 1) % 0 (20 - 0 ) (bleb) 0% 9% (92%) 2. Marfan ( ) (Acquired) 1. ( ) ( ) 2. ( ) 2 - 2 ( ) ( 0%) 20 2013 ( ) ( ) (absence of tactilefremitus)

3 Hyperresonant in percussion depression of diaphragm Hamman's sign crackling sound 2%) Scratch sign( scratching ) ( ) (tension Pneumothorax ) X ( ) ( ) ( ) 1% ( ) (decortication) ( ) X 21 2013 2013 X ( ) (crepitus) ( )

4 20% X ( ) ( ) 20% 0- 0% 2 - ( ) silver nitrate( ) bleomycin (talc) ( ) 22 2013 ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) 1.

5 2. 2 3.. 0 90 . -1 20 cmH2O . 100 ml/ ( ) ( ) ( ) ( ) 23 2013 2013 ( ) Air leak clamp ( ) 1. X 2. 0 ml-100 ml/ 3. 1 2 X ( ) 1.

6 2. 3. X . 2 3 . ( ) ( ) 1. 2. 3. 20% 2 % . X