一面性洪水:一个单面性肺的案例
Mehul K1, Maithili Charan1, Soubhik Chakraborty1
1Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.
The Journal of emergency medicine
|September 3, 2025
概括
单侧肺 (UPE) 是罕见的,并模仿肺炎. 心声检查显示了导致UPE的腹,强调了呼吸不良时需要进行心脏评估的必要性.
科学领域:
- 心脏病学
- 肺病学
- 放射学
背景情况:
- 单侧肺 (UPE) 是心脏性肺的一种不常见的表现.
- UPE通常模仿肺部感染,导致诊断延迟和潜在的误诊.
研究的目的:
- 报告严重腹吐后出现的UPE病例.
- 强调在UPE中诊断点超声波 (POCUS) 和心声回声的有用性.
- 强调在单侧肺部发现的患者中考虑心脏病因的重要性.
主要方法:
- 一位51岁的女性患有风湿性心脏病和呼吸障碍.
- 临床评估,包括胸部X射线和护理点超声波 (POCUS).
- 在床边进行胸腔回声扫描以评估心脏结构和功能.
主要成果:
- 胸部X射线显示主要是左侧的拥堵.
- POCUS表现出一个单边的B档案.
- 心声检查显示严重的腹, 带有异常喷气,
结论:
- 这种病常与肺炎相似,
- 在区分UPE和传染病因方面,POCUS非常重要.
- 及时进行心脏评估对于UPE的准确诊断和治疗至关重要,
相关概念视频
Acute Respiratory Failure-II
1.8K
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
1.8K
Pneumothorax-I
2.2K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
2.2K
Pneumothorax-II
1.7K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
1.7K
Pneumothorax II: Pathophysiology
55
Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance...
55
Atelectasis II: Pathophysiology
40
Atelectasis develops when alveoli lose their air and collapse inward. Because lung tissue is naturally elastic, these air sacs shrink rather than remaining open. Collapsed alveoli are no longer ventilated, reducing their role in gas exchange. Blood flow may continue in these regions, creating a ventilation–perfusion mismatch. Clinical findings include decreased breath sounds, dullness to percussion, reduced chest expansion, and decreased tactile fremitus as sound transmission through...
40
Pulmonary Edema II: Pathophysiology
39
Pulmonary edema is the accumulation of fluid in the interstitial and alveolar spaces of the lungs, impairing gas exchange and oxygen delivery. It may be cardiogenic or noncardiogenic, but both reduce oxygenation and lung compliance.Cardiogenic Pulmonary EdemaCardiogenic edema results from increased hydrostatic pressure in pulmonary capillaries, usually due to left ventricular dysfunction from myocardial infarction, heart failure, or valvular disease. Ineffective cardiac pumping causes blood to...
39


