摘要
目的 探讨自发性气胸的临床特点 ,观察自发性气胸闭式引流的疗效。方法 3 9例自发性气胸患者 ,胸穿抽气 8例 ,胸腔闭式引流 2 7例 ,手术治疗 4例。结果 本组 3 9例自发性气胸患者 ,治愈 3 5例 ,好转 3例 ,死亡 1例 ,病死率为 2 .56%。复发 2例 ,复发率为 5.12 %。青年自发性气胸患者以特发性气胸、肺大泡为常见 ,而中老年患者则以阻塞性肺气肿为常见。结论 胸腔闭式引流排气减压应作为自发性气胸的首选治疗 ,但对 3次以上复发性气胸、胸腔闭式引流无效或肺部有明确病灶者应积极手术治疗。
Objective To explore the clinical characteristics of spontaneous pneumothorax and observe the effect of close drainage decompression. Methods Among 39 patients,8 cases of thoraxocentesis,27 cases of thorax close drainage,4 cases by operation.Results Among 39 patients,35 cases healed,3 cases better,1 case died,the mortality is 2.56%,Recurance 2 cases,the recurrant rate is 5.12%,the idiomatic pneumothorax lung bullae are common in young patients,and the obstructive pneumo pulmona is common in middle and aged patients.Conclusion Thorax cavity close drainage decompression should be the first choice for treating spantaneous pneumothorax,but we should conduct operation on those patients whose recurrance over 3 times,or no effect by thorax close drainage,or a certain disease focus in the lung.
出处
《医药论坛杂志》
2004年第24期19-21,共3页
Journal of Medical Forum
关键词
气胸
自发性
闭式引流
Pneumothorax
Spontaneous
Close drainage
