Pneumothorax noa: ona take, ngā āhuatanga haumanu me te maimoatanga

Pneumothorax - he huru pathological i roto i nei te rangi tomo te kōhao pleural, meinga he pēhanga nui haere ki roto.

I roto i tenei mate i reira ko nga momo e whai ake nei:

• pneumothorax māhorahora. Ko te take mō tenei ahua o te mate maha tonu mārama (i roto i te wā i reira puta ai matua). whakawhanake Tuarua pneumothorax noa rite te pōauautanga o tini o nga mate pūkahukahu;

• ngaukino. meinga kaiakiko pouaka, i roto i nei mai te rangi ki te kōhao pleural;

• iatrogenic. He he pōauautanga i te maimoatanga me te pukapuka he te māuiuitanga e taea puta ka wawaotanga tātaritanga takitahi (hei tauira, i muri i poka o pleural peke i muri i thoracentesis biopsies pleural ranei me hoki e tika ana ki te catheterization venous pokapū).

A feruri i te āhuatanga o te whanaketanga me te akoranga o te pneumothorax māhorahora.

He tuatahi, me te tuarua tenei ahua o te mate. Kei te maha pāngia pneumothorax noa te Paraimere i roto i te feia apî paari tiketike, me te kikokore. E tano ia tapao e faarahi paowa te mōrea o te whanaketanga o te whakangaromanga, ko te tata 20 ngā wā. I runga i te whakamārama o tenei momo o te pneumothorax kore whakaatu māuiuitanga pūkahukahu kitea, engari ki runga ki te tūhuratanga atu, tino maha whakakitea bullae subpleural, kia hoki hei maharatanga te hanganga raraunga i roto i tūroro kore e nei ifi (tata 81% o te wā). Heoi, he mea utu te haamana'oraa e hanga e tonu nga puru rite ki te hua o te kinonga o te papanga rapa marama e he ka whakahohenga nui o neutrophils me macrophages, e whanake i runga i te whakamārama o te kai paipa.

whakawhanake tonu pneumothorax Tuarua i runga i te whakamārama o kē ngā mate pūkahukahu. Ko te uaua tenei ahua o te mate, kia rite ki e pā ana te ki nui waimaero o te pūnaha Cardiovascular.

I roto i te take matua o te pneumothorax tuarua māhorahora kia tohatoha pūkahukahu taunutia ma'i, mana huangō, mate kohi pūkahukahu, kakā, kakakīrehe pūkahukahu me mate kiko tūhonohono (hei tauira, kaikōiwi, spondylitis ranei). Ka taea hoki e te tūranga etiological motuhake hei pukupuku pūkahukahu, me te sarcoma.

arata'i pneumothorax noa ki te hekenga i roto i te kaha faufaa, hua i roto i te hypoxemia - whakaiti o te kukū hāora i roto i te toto. Me mea e ahau e te utu hau i roto i te pūkahukahu i te wa ano he poke iti, na e kore e whakawhanake hypercapnia (nui haere kukū hauhā i roto i te tinana).

E mea pinepine whakawhanake pneumothorax noa i okiokinga me te whakakitea e mamae nui i roto i te pouaka me te dyspnea. I muri, kia riro te mamae puhoi maru ranei. Pouaka hāereere he iti i te whakangaromanga. faaiteraa haumanu o pneumothorax ngaro takitahi i roto i te ra kotahi ara i roto i te ngaro o te maimoatanga.

Ki te pneumothorax tohu pathological iti i roto i te nuinga o te wā, he ngaro. I te tahi taime amuamu tūroro o tachycardia. Ki te whanaketanga o te mānukanuka pneumothorax auau o heartbeats taea e ki runga ki te 135 kapakapa ki te meneti, tahi e te hypotension me cyanosis me whakapeka alkalosis romahā.

hāngai ana te tātaritanga o tenei huru te i runga i raraunga anamnestic, me ngā rerekētanga motuhake i roto i te rārangi X-ray riro kite kiripūkahu visceral. I te tahi taime te tātaritanga o te whakamahi pneumothorax iti-rahi X-hihi X-hihi ranei i roto i launoa.

pneumothorax noa: maimoatanga

Whakaora whakahaua i mate Fetukutuku hau i te peke pleural, me te ārai matahoki. Ko te tikanga tino pai mo tenei - thoracostomy me te pokanga i te thoracotomy roto i te uru thoracoscopic ranei.