V Wichert P
Hamburg.
Internist (Berl). 2004 May;45(5):549-54. doi: 10.1007/s00108-004-1167-x.
During traumatic lesions, lung diseases or even spontaneously air can reach the pleural cavity causing a so called pneumothorax. If a valve mechanism develops, the high pressure in the pleural cavity impaires the blood flow to the heart, causing a circulatory insufficiency. This situation can develop very quickly and therefore must be very fast diagnosed and treated because of the life threatening character. Clinical symptoms and findings should be the main stay in the diagnosis. X-ray and CT may provide additional information concerning the cause of the disease. The therapy consists of draining the air by tube suction or by surgical closing of the leak in the pleura. The paper gives some practical information concerning the therapy.
在创伤性损伤、肺部疾病甚至自发性情况下，空气可进入胸膜腔，导致所谓的气胸。如果形成瓣膜机制，胸膜腔内的高压会损害心脏的血液流动，导致循环功能不全。这种情况发展非常迅速，因此由于其危及生命的特性，必须非常快速地进行诊断和治疗。临床症状和体征应作为诊断的主要依据。X射线和CT可能会提供有关疾病病因的额外信息。治疗包括通过胸腔闭式引流或手术闭合胸膜漏口来排出气体。本文提供了一些有关治疗的实用信息。
