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Hemothorax

呼吸

关键词呼吸 疾病 胸膜腔积血

词汇介绍

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解析

Hemothorax   /,hɛmə'θɔræks/

释    义   n. [内科] 血胸(等于haemothorax);胸腔积血

例    句   Injuries that may acutely impair ventilation are tension pneumothorax, flail chest with pulmonary contusion, massive hemothorax, and open pneumothorax. 损伤可以对通气造成严重损伤,导致张力性气胸以及由肺挫伤、大量血胸和开放性气胸造成的连枷胸。

概述

胸膜腔积血称为血胸。主要来源于心脏、胸内大血管及其分支、胸壁、肺组织、膈肌和心包血管出血。血胸发生后不但因血容量丢失影响循环功能,还可压迫肺,减少呼吸面积。血胸推移纵膈,使健侧肺受压,并影响腔静脉回流。当胸腔内迅速积聚大量血液,超过肺、心包和膈肌运动所起的去纤维蛋白作用时,胸腔内积血发生凝固,形成凝固性血胸。凝血块机化后形成纤维板,限制肺与胸廓活动,损害呼吸功能。经伤口或肺破裂口侵入的细菌,会在积血中迅速繁殖,引起感染性血胸,最终导致脓血胸。持续大量出血所致胸膜腔积血称为进行性血胸。少数伤员

Safety and Costs of Endobronchial Ultrasound-Guided Nodal Aspiration and Mediastinoscopy.复制标题

支气管内超声引导下淋巴结抽吸和纵隔镜检查的安全性和费用。

发表时间:2019-10-09

影响因子:9.7

作者: Verdial FC

期刊:Chest

Adverse events were chosen on the basis of prior reports of these complications. Several rare complications, including pneumothorax, hemothorax, great vessel injury, airway injury, or death, were considered severe adverse events. Pneumothorax and hemothorax were defined by ICD-9 diagnostic codes and a hospitalization on the same day or an associated ICD-9 procedure or CPT code for treatment (eg, tube thoracostomy). Great vessel and airway injuries were defined by procedure codes for aortic and tracheal/bronchial repair, respectively. We measured deaths occurring on the same day as EBUS or mediastinoscopy or during a hospitalization starting on the same date as the procedure. Because vocal cord paralysis may not be recognized immediately after a procedure, we evaluated the incidence within 90 days of EBUS or mediastinoscopy, using a previously published algorithm.

译文

根据这些并发症的先前报告选择不良事件。一些罕见的并发症,包括气胸、血胸、大血管损伤、气道损伤或死亡,被认为是严重的不良事件。气胸和血胸由ICD-9诊断代码和当天住院或相关ICD-9程序或CPT治疗代码(如管式胸腔造口术)定义。大血管和气道损伤分别由主动脉和气管/支气管修复的程序代码定义。我们测量了在电子束超声或纵隔镜检查的同一天或在手术的同一天开始住院期间发生的死亡。由于声带麻痹在手术后可能无法立即被识别,我们使用先前发表的算法评估了在电子束超声或纵隔镜检查后90天内的发生率。