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一例酷似自发性膈肌破裂的张力性气胸病例。

A case of tension pneumothorax mimicking spontaneous rupture of the diaphragm.

作者信息

Morison D, Noble H, Peyser Pm

机构信息

Treliske Hospital, Truro, UK.

出版信息

J Surg Case Rep. 2011 Apr 1;2011(4):4. doi: 10.1093/jscr/2011.4.4.

DOI:10.1093/jscr/2011.4.4
PMID:24950575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649229/
Abstract

A 40 year old asthmatic presented with acute respiratory distress. Chest radiograph appeared to show loops of bowel within the thorax and a diagnosis of spontaneous/effort rupture of the diaphragm was made. Emergency laparotomy revealed an intact diaphragm and chest drain was inserted relieving a tension pneumothorax.

摘要

一名40岁的哮喘患者出现急性呼吸窘迫。胸部X光片显示胸腔内有肠袢，诊断为自发性/用力性膈肌破裂。急诊剖腹探查发现膈肌完整，插入胸腔引流管缓解了张力性气胸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e67/3649229/bd8cf4370584/jscr-2011-4-4fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e67/3649229/2b52d6441387/jscr-2011-4-4fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e67/3649229/bd8cf4370584/jscr-2011-4-4fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e67/3649229/2b52d6441387/jscr-2011-4-4fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e67/3649229/bd8cf4370584/jscr-2011-4-4fig2.jpg

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本文引用的文献

1
Spontaneous rupture of the diaphragm: case report and comprehensive review of the world literature.膈肌自发性破裂：病例报告及世界文献综述
J Thorac Cardiovasc Surg. 2010 Jun;139(6):e127-8. doi: 10.1016/j.jtcvs.2009.05.035.
2
eComment: Spontaneous or effort diaphragmatic rupture.
Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):376. doi: 10.1510/icvts.2009.203075A.
3
Pneumothorax in the ICU: patient outcomes and prognostic factors.
Chest. 2002 Aug;122(2):678-83. doi: 10.1378/chest.122.2.678.
4
Effort rupture of the diaphragm.膈肌用力性破裂
Thorax. 1990 Sep;45(9):715. doi: 10.1136/thx.45.9.715.