Lel'chitskiĭ V N
Ter Arkh. 1984;56(8):78-81.
Spontaneous pneumothorax runs its course in the presence of the main symptoms such as pain in the side, dyspnea, tachycardia, often leading to erroneous diagnoses: angina pectoris, myocardial infarction, renal and liver colic, and so forth. Sometimes these errors lead to grave consequences. While differentiating between the most severe complication, spontaneous valvular pneumothorax, and similar diseases it is necessary to bear in mind that the main symptomatology of the complication involves the presence on the side of the complication of a box sound, sometimes with a tympanic tone, reduced respiration or its absence, and heart displacement toward the side opposite to the pneumothorax.
自发性气胸在出现诸如患侧疼痛、呼吸困难、心动过速等主要症状时发展,常常导致错误诊断:心绞痛、心肌梗死、肾绞痛和肝绞痛等等。有时这些错误会导致严重后果。在鉴别最严重的并发症——自发性瓣膜性气胸与类似疾病时,必须牢记该并发症的主要症状包括在并发症一侧出现盒状音,有时伴有鼓音,呼吸减弱或消失,以及心脏向气胸对侧移位。