期刊文献+

慢阻肺急性加重期并发纵隔气肿的临床分析 被引量:3

Clinical Analysis of Mediastinal Emphysema Complicated With Acute Exacerbation of COPD
下载PDF
导出
摘要 目的研究慢阻肺急性加重期并发纵隔气肿的发病机制以及临床诊治方法。方法针对在我院进行诊治的15位患者对其发病原因、临床特点、检测表现、诊治情况进行回顾性分析。结果在15位患者当中12位患者得到治愈,3位患者由于误诊致使死亡。在15例患者中9位患者误诊,2位患者漏诊。结论慢阻肺急性加重期并发纵隔气肿的临床表现不明显,容易出现漏诊以及误诊的情况,需要进行CT等辅助检测,增加确诊率,减少死亡率。 Objective To study the pathogenesis of period of pneumomediastinum in patients with acute exacerbation of COPD and the clinical diagnosis and treatment. Methods The etiology,clinical features,clinical characteristics,diagnosis and treatment of 15 patients in our hospital were retrospectively analyzed. Results Among 15 patients,12 patients were cured,and 3 patients died due to misdiagnosis. In 15 patients,9 patients were misdiagnosed,and 2 were missed. Conclusion The clinical manifestations of patients with mediastinal emphysema in acute exacerbation of COPD is not obvious,easy to appear missed diagnosis and misdiagnosis,need to carry out CT and other auxiliary detection,increase the diagnosis rate,and reduce the mortality rate.
机构地区 黑龙江省医院
出处 《中国卫生标准管理》 2016年第2期23-24,共2页 China Health Standard Management
关键词 慢阻肺 急性加重期 纵隔气肿 Chronic obstructive pulmonary disease Acute exacerbation Mediastinal emphysema
  • 相关文献

参考文献6

二级参考文献39

  • 1陈志强,胡鸿藻,宋小平,李黎明.自发性纵隔气肿的临床转归[J].实用医学杂志,1996,12(11):727-728. 被引量:8
  • 2Krishnan V,Diette GB,Rand CS,et al.Mortality in patients hospitalized for asthma exacerbations in the United States[J].Am J Respir Crit Care Med,2006,174(6):633-638.
  • 3Anzueto A,Frutos-Vivar F,Esteban A,et al.Incidence,risk factors and outcome of barotrauma in mechanically ventilated patients[J].Intensive Care Med,2004,30(4):612-619.
  • 4Harris RS,Winkler T,Tgavalekos N,et al.Regional pulmonary perfusion,inflation,and ventilation defects in bronchoconstricted patients with asthma[J].Am J Respir Crit Care Med,2006,174(3):245-253.
  • 5Soroksky A,Stay D,Shpirer I.A pilot prospective,randomized,placebo-controlled trial of bilevel positive airway pressure in acute asthmatic attack[J].Chest,2003,123(4):1018-1025.
  • 6P Phipps,C S Garrard.The pulmonary physician in critical care.12:Acute severe asthma in the intensive care unit[J].Thorax,2003,58(1):81-88.
  • 7Darioli R,Perret C.Mechanical controlled hypoventilation in status asthmaticus[J].Am Rev Respir Dis,1984,129(3):385-387.
  • 8Bidani A,Tzouanakis AE,Cardenas VJ Jr,et al.Permissive hypercapnia in acute respiratory failure[J].JAMA,1994,272(12):957-962.
  • 9Leatherman JW,McArthur C,Shapiro RS.Effect of prolongation of expiratory time on dynamic hyperinflation in mechanically ventilated patients with severe asthma[J].Crit Care Med,2004,32(7):1542-1545.
  • 10Caramez MP,Borges JB,Tucci MR,et al.Paradoxical responses to positive end-expiratory pressure in patients with airway obstruction during controlled ventilation[J].Crit Care Med,2005,33(7):1519-1528.

共引文献12

同被引文献19

引证文献3

二级引证文献11

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部