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Abstract: We retrospectively analyzed the clinical materials, diagnosis and treatment of a case of acute atelectasis caused by mucus impaction in Beijing Chaoyang Hospital. We logged on the database of Wanfang, Weipu and China HowNet by using "mucus embolism or mucus impaction" and "atelectasis" as Chinese search terms, and logged on the Pubmed database by using "atelectasis or lung collapse" and "mucous plug" or "mucoid impaction" as English search terms. The database were retrieved until November 2018, and medical records were summarized and analyzed. The causes of mucus impaction atelectasis are various, and the courses of the disease are different. Clinically, if the respiratory symptoms of patients do not alleviate after routine treatment or unexplainable dyspnea occurs quickly, we should consider the possibility of mucus impaction atelectasis. The progress of the disease can be blocked by timely intervention with bronchoscope for further treatment time.
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Key words:
- mucous plug /
- mucoid impaction /
- atelectasis
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表 1 患者入院后动脉血气分析结果的变化
时间 1月30日
(第1天)1月31日
(第2天10am)1月31日
(第2天12pm)2月1日
(第3天)2月2日
(第4天)2月3日
(第5天)2月4日
(第6天)2月5日
(第7天)吸氧条件 鼻导管
2 L/min鼻导管
2 L/min文丘里
40%文丘里
50%文丘里
28%文丘里
28%文丘里
24%未吸氧 pH 7.40 7.41 7.42 7.41 7.38 7.43 7.41 7.45 PaCO2/mmHg 33.9 39 39 39 38 32 38 37 PaO2/mmHg 74.4 61 60 70 62 120 81 76 SPO2/% 95 91 91 94 91 99 96 96 PaO2/FiO2 248 210 150 140 221 428.5 337.5 361.9 
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