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Introduktionsuddannelsen til Lungemedicinsk sygepleje

Introduktionsuddannelsen til Lungemedicinsk sygepleje. Pneumothorax 24.November 2010 Nanna Eriksen Afdelingslæge Lungemedicinsk Afdeling Bispebjerg hospital. Pneumothorax. ”Traumatisk pneumothorax”. Primær spontan pneumothorax. 20-40 årige, 5:1 drenge, rygere større risiko

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Introduktionsuddannelsen til Lungemedicinsk sygepleje

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  1. Introduktionsuddannelsen til Lungemedicinsk sygepleje Pneumothorax 24.November 2010 Nanna Eriksen Afdelingslæge Lungemedicinsk Afdeling Bispebjerg hospital

  2. Pneumothorax ”Traumatisk pneumothorax”

  3. Primær spontan pneumothorax • 20-40 årige, 5:1 drenge, rygere større risiko • Blebs, bullae 30-50 % relaps • Pludselig unilateral smerte og dyspnø relateret til pneumothorax størrelse, tør hoste • Tympanisme, nedsat luftskifte, evt. subcutant emfysem • Trykpneumothorax: Svær dyspnø, hypotension, hjertetamponade

  4. Sekundær spontan pneumothorax • Pt.`er med underliggende lungesygdom • KOL, astma, c. pulmonis, P. carinii etc. • Dårligere • Ældre • Sværere at diagnostisere

  5. Behandling • O2 • Nåleaspiration, venflon • Dræn • Medicinsk thoracoskopi med talkum pleuradese • VATS med decorticatio og bullectomi (stapling eller laser resektion) • Kirurgisk thoracotomi

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