Negus R A, Chachkes J S, Wrenn K
Emory University School of Medicine, Atlanta, GA.
Am J Emerg Med. 1990 May;8(3):205-7. doi: 10.1016/0735-6757(90)90323-r.
A patient presented to the emergency department with a malignant pleural effusion associated with shortness of breath, and radiographic evidence of mediastinal shift and hypotension. Tube thoracostomy yielded serosanguinous pleural fluid under pressure and after 1 liter of fluid was drained, the patient's hemodynamic status stabilized. The entity of tension hydrothorax is rare but may be life threatening. The treatment should consist of prompt drainage and efforts to prevent recurrence. As physicians become more adept at prolonging the lives of patients with cancer, tension hydrothorax may become more common.
一名患者因恶性胸腔积液伴呼吸急促、纵隔移位的影像学证据及低血压而就诊于急诊科。胸腔闭式引流在压力下引出了血性胸水，排出1升液体后，患者的血流动力学状态稳定。张力性气胸这一情况罕见，但可能危及生命。治疗应包括迅速引流并努力预防复发。随着医生在延长癌症患者生命方面变得更加熟练，张力性气胸可能会变得更加常见。
