新西兰代写essay：利马克的病例

新西兰代写essay：利马克的病例

在利马克的例子中，他现在的气胸可以从创伤性气胸发展为张力性气胸。创伤性气胸可由穿透性或非穿透性胸部创伤引起(Tsotsolis, et al, 2015, p.40)。在Leigh Mark的例子中，没有渗透。因此，空气并不是直接通过胸壁进入的，而是意外造成的患者胸部突然压缩可能导致肺泡破裂，导致空气进入内脏胸膜腔(Sharma， & Jindal, 2008, p.34)。当空气进入胸腔时，破裂导致气胸。现在利的女儿不能理解为什么这种情况会发展成张力性气胸。这是可能发生的，因为一旦内脏胸膜破裂，那么胸膜腔内不可吸收的空气就会增加。

新西兰代写essay：利马克的病例
随着这种不可吸收空气体积的增大，区域内aa压力增大，导致缺氧的原因是压力增大。随着压力的进一步增加，纵隔向对侧端移位，导致缺氧加重导致心血管衰竭。压力性气胸通常是缺氧和诱导的机械效应共同作用的结果(Daley, 2015)。纵隔偏移导致腔静脉机械受压，患者缺氧作用加重，最终导致心脏骤停死亡。因此，对于病例研究中的病人，有必要在病情发展到张力性气胸之前阻止病情的发展。这可以通过插入超水sd来实现。这里不应延误，因为病人已经进入昏昏欲睡的状态，表明意识水平下降。意识水平下降通常是气胸发现的晚期(Parkin, 2002, p.32)。

新西兰代写essay：利马克的病例

In the case of Leigh Mark, the pneumothorax that he has now can develop from a traumatic pneumothorax to a tension pneumothorax. The traumatic pneumothorax can be caused because of penetration or non-penetrating chest trauma (Tsotsolis, et al, 2015, p.40). In the case of Leigh Mark, there is no penetration as such. So the air does not enter directly through the chest wall but there the sudden chest compressions in the patient caused by the accident might have led to the alveolar rupture resulting in air entering the visceral pleural space (Sharma, & Jindal, 2008, p.34). This ruptures leading to the pneumothorax condition when the air now enters the pleural space. Now Leigh’s daughter is not able to understand why this condition could develop into a tension pneumothorax. This can happen because once the disruption of the visceral pleura happens then the non-absorbable air in the intrapleural space will increase.

新西兰代写essay：利马克的病例
With the increase in volume of this non absorbable air, there is aa increased pressure in the region, hypoxia results because of the increasing pressure. With further increase in pressure, a shift is observed in the mediastinum towards the contralateral end and finally this will result in cardiovascular collapse because of the worsened hypoxia. The pressure pneumothorax is usually a combination of hypoxia and induced mechanical effects in the patient (Daley, 2015). The mediastinum deviation results in the mechanical compression of the vena cava’s and the exacerbated with the action of hypoxia in the patient, the end result would be cardiac arrest and death. So in the case of the patient in the case study it is necessary to arrest development of the situation before it progresses to a tension pneumothorax. This can be done by means of the UWSD insertion. There should be no delay here as the patient was already brought in a drowsy state indicating decreased level of consciousness. Decreased level of consciousness is usually the late findings stage in the case of pneumothorax (Parkin, 2002, p.32)