摘要
目的 分析自发性气胸的临床特点和治疗效果。方法 6 7例自发性气胸患者中 18～ 5 9岁中青年组 36例 ,6 0岁以上老年组 31例。比较两组临床特点和治疗效果。结果 老年组主诉胸痛和起病急者明显少于中青年组 (P <0 0 0 1,P <0 0 5 )。同时 ,老年组合并胸部基础疾病者明显高于中青年组 (P <0 0 0 1) ,老年组误诊率高 ,该组患者行胸腔闭式引流的机率高于中青年组。结论 老年性自发性气胸临床表现隐匿 ,易误诊为慢性阻塞性肺病急性发作或其它疾病 ,须行细致的体格检查和尽早行胸片检查 ,治疗上以胸腔闭式引流为主。
Objective To analyse the clinical characteristic and therapeutic efficacy of spontaneous pneumothorax.Methods 67 patients with spontaneous pneumothorax were investigated.Of the 67 patients,aged 18～83 years(mean age,52.3 years).They were composed of 36 middle-youth patients(18～59 years),and 31 old-age patients(over 60 years).Drawing air and closed drainage of thoracic cavity were performed according to the state of an illness on the basis of anti-infection,controlling cough and rest.The clinical characteristic and therapeutic efficacy were compared between both groups.Results Chest pain and acute on set in old-age patients were less than that in middle-aged patients(P<0.001,P<0.05),and,the original diseases of the chest in the old-age patients were significantly more than that in middle-aged patients(P<0.001).The misdiagnosis rate of spontaneous pneumothorax in old-age patients was higher than that in middle-aged patients.In the old-age patients,the closed drainage of thoracic cavity was more frequently performed.Conclusion In old-age patients,the clinical situation of spontaneous pneumothorax was latent.It was easy to be misdiagnosed as acute episode of chronic obstructive pulmonary disease(COPD) and other respiratory diseases.So that,physical examination and X-ray examination of chest should be carefully performed as soon as possible.Closed drainage of thoracic cavity is an essential therapeutic means for these patients.
关键词
自发性气胸
诊断
误诊
治疗
Pneumothorax
Spontaneous
Diagnosis
Therapy
Misdiagnosis analysis
