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1 临床资料患者男性,20岁,入伍2个月的新兵。2004年2月14日晚10:00进行俯卧撑锻炼,撑到130次时突感左侧胸部压迫性疼痛,深呼吸时疼痛加剧,胸闷、气促不明显,无咳嗽、咯血、发热、畏寒、盗汗等症状。当即摄 X 线胸片显示:左侧少量气胸,左肺轻度压迫。检查:体温36.8℃、脉搏80次/min、呼吸20次/min、血压108/60 mm Hg。气管居中,左胸壁无膨隆,肋间隙存在,左肺呼吸运动稍减弱,叩诊无鼓音。听诊:双肺呼吸音清晰,未闻及干、湿性哕
1 Clinical data Male patients, 20 years old, recruited 2 months of recruits. On the evening of February 14, 2004, a push-up exercise was performed at 10:00 on the evening of February 14, and the pressure was relieved on the left side of the chest for 130 times. The pain in the deep breath was aggravated. The chest tightness and shortness of breath were not obvious. No cough, hemoptysis, fever, Night sweats and other symptoms. Immediate X-ray showed: a small amount of left pneumothorax, left lung mild oppression. Check: body temperature 36.8 ℃, pulse 80 beats / min, breathing 20 beats / min, blood pressure 108/60 mm Hg. Tracheal center, left chest wall without bulging, intercostal space exists, slightly reduced left lung respiratory motion, percussion no drum sound. Auscultation: clear breath sounds of both lungs, unheard-of and dry, wet 哕