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Spontaneous Pneumothorax Developing into Tension Pneumothorax: A Case Report

自發性氣胸進展成張力性氣胸之病例報告

摘要


一位19歲的男性,無肺部及創傷的病史,因為自發性氣胸進展成張力性氣胸,被送至急診室。雖然病患的生命徵象已經不穩定,但是為了要等胸部X光片的確認,因而延遲了緊急胸管的引流。後來,經過胸管的引流,病患的生命徵象逐漸穩定。張力性氣胸是一種臨床的急症,它可能會發生在自發性氣胸之後。當病患發生自發性氣胸之後,隨即有生命徵象不穩定,應該懷疑已經進展成張力性氣胸,此時應該立即胸管引流。

並列摘要


We report a 19-year-old man without a history of primary lung disease or recent trauma presenting with a spontaneous pneumothorax which later developed into a tension pneumothorax. Immediate chest decompression was delayed while awaiting results of chest radiography, despite the patient's rapidly deteriorating condition. His vital signs subsequently became stable after chest decompression. A tension pneumothorax is a clinical emergency that can occur after a spontaneous pneumothorax. It should be suspected in any patient with a spontaneous pneumothorax whose condition deteriorates acutely. Immediate chest decompression should not be delayed.

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