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您当前的位置 :浙江在线 > 健康 > 原创新闻 正文

"肺炸了"不仅仅是气话 "爆肺者"90%是高瘦"小鲜肉"

2018-10-19    来源:浙江在线    记者 梁婧娴 通讯员 周素琴 舒妍
木瓜奇迹私服 与此类似的是,4月份悄悄减产25%的上海通用却在4月底的上海车展上宣布,至2018年间向中国投资140亿美元,兴建5家新整车厂和2家零部件工厂。

  浙江在线-健康网5月5日讯(浙江在线记者 梁婧娴 通讯员 周素琴 舒妍)人在生气的时候总说“肺都气炸了!”你以为只是一句气话?事实上,肺真的会炸。

  最近,浙江大学医学院附属邵逸夫医院胸外科病房就收了不少“肺炸了”的病人。邵逸夫医院胸外科陈周苗副主任医师告诉浙江在线记者,几乎每天都会收治一两个从急诊转来的“爆肺”病人,其中男性患者占到大约90%,大部分是20岁左右的“小年轻”。

  19岁的小A是枚十足的“小鲜肉”,在学校里还有一帮“迷妹”,185cm的大高个子,体重不到120斤,高高瘦瘦的。最近不知道怎么了,短短3个月时间里,他的肺竟然“炸”了3回。

  小C也是个瘦瘦的可爱姑娘,14岁的她却已经是颇经风雨的“老病号”了。因为从2016年5月开始,她的肺就左右轮换着“炸”,每隔2~3个月一次。刚做完左肺的修补术,出院没几天又来医院报到了,这回轮到右肺炸了。

  香港歌手方大同和谢安琪也都曾几度“爆肺”,谢安琪更笑称自己做不了“铁肺天后”,只能做“爆肺天后”。

  今年40岁的谢安琪一直因声线独特,情歌婉转受到不少人喜爱,但她坦言,每次唱歌都不敢用力,因为她自18岁起就4度“爆肺”。回忆起第一次“爆肺”入院的情景,谢安琪说,当时她走在路上,突然胸痛被送往急诊,“原来左肺有小孔,会漏气。那次进院时,肺部六成被压扁,1个小时后进手术室已被压扁八成。”之后每隔两三年就发作一次。31岁时,她第4次“爆肺”,于是入院做了微创手术。

谢安琪

  肺为什么会炸?

  邵逸夫医院胸外科陈周苗副主任医师介绍,俗话说的“肺炸了”,其实就是医学上的自发性气胸,一般是因为非外力因素导致肺大泡破裂,使得肺里面的气体进入胸膜腔。

  而产生肺大泡的原因听起来令人有点诧异,男孩和女孩还不太一样:一般来说,男孩多是由于在生长发育阶段缺乏运动锻炼;而女孩则更无辜,多是天生的,因为先天性酶缺乏。

  陈周苗表示,气胸更青睐瘦高型的“竹竿男”,这是因为这类男生在飞速长个时缺乏锻炼,肺的发育与身体发育脱节,由于胸腔体积随着发育不断快速增大,而肺的发育相对滞后,导致胸腔内的负压相对发育前增大,于是受力点最大的肺尖部的胸膜由于长时间负压牵拉形成肺大泡,肺大泡破裂后,吸入肺里的部分空气就会漏进胸腔,也就产生了气胸。

  “剧烈活动、咳嗽和喷嚏比较容易诱发自发性气胸,特别是大力屏气时,不过在安静的状态下也可能发生。除此之外,长期熬夜导致疲劳是一个重要诱因。”陈周苗说,他遇到的气胸患者,80%以上都有熬夜的习惯。

  陈周苗指出,自发性气胸发作时,患者往往会感到呼吸困难,胸闷胸痛,如果出现类似症状,一定要立即去医院就诊或拨打急救电话,等待救护的过程中,可以安静地坐在舒适的椅子上,有条件的话最好吸氧。医生通常会通过胸部X片检查是否有气胸,确诊后根据情况选择治疗方案。

  “如果患者症状较轻并且是首次发生,我们会选择保守治疗,积气量少的病人不用特殊处理,通过休息,胸腔内积气在数日内可自行吸收;积气量较多则进行胸膜腔穿刺抽气或留置胸腔闭式引流管,以减轻积气对肺和纵隔的压迫,促进肺尽早膨胀,同时应用抗生素预防感染。”

  陈周苗表示,部分病人一辈子发作一次,第一次发作后的复发率为75%,一般是在同一侧复发,但如果是第2次发病后,复发率则高达95%以上。因此,第一次发作时,医生可能会建议保守治疗,而反复发作后会采取外科手术治疗。“术后的复发率就比较低了,在1%~1.5%左右。”

  如何预防“爆肺”?陈周苗说,关键是要预防肺大泡的产生,最好的方法是每天坚持锻炼,增加呼吸系统肌肉强度,不过要避免剧烈运动;养成良好的作息习惯,均衡营养,和熬夜说“拜拜”;戒烟,防止上呼吸道感染;尽量避免剧烈咳嗽,保持大便通畅,避免用力和屏气动作。

责任编辑:王秀萍
标签:气胸 爆肺 小鲜肉归属专题:

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