最近审阅: 26 十月 2020
最近更新: 25 七月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 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

危险因素

  • 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

诊断性检查

需考虑的检查

  • 胸部 CT
  • 胸腔超声
  • 支气管镜检查
更多 需考虑的检查

治疗流程

撰稿人

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

利益声明

LY has received research grants and consulting fees from Olympus, Inc, the manufacturer of the Spiration intrabronchial valve.

Assistant Professor of Medicine

Director, Interventional Pulmonology

Carolina Center for Pleural Disease

University of North Carolina

Chapel Hill

NC

利益声明

JA declares that he has no competing interests.

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.

利益声明

RPB, TMR, and AA declare that they have no competing interests.

同行评议者展开全部内容

Professor and Chief Executive Officer of Respiratory Division

Interventional Endoscopy Clinic

University Hospital Brussels

Brussels

Belgium

利益声明

MN declares that he has no competing interests.

Professor of Medicine

Division of Pulmonary Critical Care, Allergy and Sleep Medicine

Medical University of South Carolina

Charleston

SC

利益声明

SAS declares that he has no competing interests.

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