შეჯამება
განსაზღვრება
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- 存在的危险因素
- 胸痛
- 呼吸困难
- 同侧胸廓过度膨胀
- 同侧胸廓过清音
- 同侧呼吸音减弱或消失
- 极度呼吸困难
- 气管移向对侧
რისკფაქტორები
- 吸烟
- 气胸家族史
- 身材高瘦的体型
- 年龄<40 岁
- 近期接受过创伤性手术
- 胸部外伤
- 急性重症哮喘
- 慢性阻塞性肺疾病 (COPD)
- 结核
- AIDS 相关的卡氏肺囊虫感染
- 囊性纤维化。
- 淋巴管肌瘤病
- 马方综合征
- 高胱氨酸尿
- 原发性肺癌和向肺部转移的癌症
- Birt-Hogg-Dube 综合征
- 肺部朗格汉斯细胞组织细胞增多症
- Erdheim-Chester 病
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- 胸部 X 线检查
გასათვალისწინებელი კვლევები
- 胸部 CT
- 胸腔超声
- 支气管镜检查
მკურნალობის ალგორითმი
张力性气胸
原发性自发性气胸和≤50 岁的患者
继发性自发性气胸或者>50 岁的患者
月经性气胸
创伤性气胸
阻塞性肺不张后气胸
კონტრიბუტორები
ავტორები
Lonny Yarmus, DO, MBA
Associate Professor of Medicine and Oncology
Clinical Director, Division of Pulmonary and Critical Care
Director, Interventional Pulmonology Research Core
Johns Hopkins Medical Institutions
Baltimore
MD
გაფრთხილება:
LY has received research grants and consulting fees from Olympus, Inc, the manufacturer of the Spiration intrabronchial valve.
Jason Akulian, MD, MPH
Assistant Professor of Medicine
Director, Interventional Pulmonology
Carolina Center for Pleural Disease
University of North Carolina
Chapel Hill
NC
Disclosures
JA declares that he has no competing interests.
Acknowledgements
Dr Lonny Yarmus and Dr Jason Akulian would like to gratefully acknowledge Dr Ryland P. Byrd Jr, Dr Thomas M. Roy, and Dr Anita Alwani, previous contributors to this topic.
Disclosures
RPB, TMR, and AA declare that they have no competing interests.
Peer reviewers
Marc Noppen, MD
Professor and Chief Executive Officer of Respiratory Division
Interventional Endoscopy Clinic
University Hospital Brussels
Brussels
Belgium
Disclosures
MN declares that he has no competing interests.
Steve A. Sahn, MD
Professor of Medicine
Division of Pulmonary Critical Care, Allergy and Sleep Medicine
Medical University of South Carolina
Charleston
SC
Disclosures
SAS declares that he has no competing interests.
Differentials
- 哮喘急性发作
- COPD 急性加重
- 肺栓塞
More DifferentialsGuidelines
- 创伤性气胸和血胸的管理
- ERS 工作组声明:原发性自发性气胸的诊断和治疗
More GuidelinesPatient information
Pneumothorax
Chest drain insertion
More Patient informationVideos
张力性气胸空针减压 (needle decompression) 动画演示
采用 Seldinger 技术插入肋间引流管的动画演示
More videosLog in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer