摘要
目的：探讨汕头市自发性气胸患者的临床特点。方法：收集2003年1月至2007年12月汕头大学医学院第一附属医院收治的自发性气胸病例共323例，对其临床资料进行回顾性分析。结果：原发性气胸190例（58．8％），继发性气胸133例（41．2％）。年龄分布呈双峰（10～30岁及〉60岁）；男288例，女35例，男：女=8．2：1，42例（13．0％）患者经观察好转，72例（22．3％）予胸腔穿刺抽气、144别（44．6％）行胸腔闭式引流、17例（5．3％）抽气后胸腔闭式引流、48例（14．9％）外科手术治疗。其中痊愈307例（95．0％），自动出院9例（2．8％），转院1例（0．3％），死亡6例（1．9％）。结论：自发性气胸以原发性气胸多见，且多发于青壮年，男性较女性多见；继发性气胸相对较少，多发于中老年：胸腔闭式引流是原发性气胸常用有效的治疗方法。
Objective： To study clinical characteristics of patients with spontaneous pneumothorax in Shantou. Methods： Records of 323 patients with spontaneous pneumothorax were reviewed and analyzed. Results： Primary spontaneous pneumothorax occurred in 190 patients （58.8%）. secondary spontaneous pneumothorax occurred in 133 patients（41.2%）. The age distribution showed a biphasic distribution. The proportion of male and female was 8.2： 1. 42 patients（ 13.0%） had improved by observation, 72 patients （22.3% ）were treated by needle aspiration, 144 patients（44.6%）by pleural drain, 17 patients（5.3%） by needle aspiration and pleural drain. 48 （ 14.9%） patients by surgical treatment. 6 patients were dead. Condusions：The number of primary spontaneous pneumothorax is larger than that of secondary spontaneous pneumothorax in Shantou. Primary spontaneous pneumotliorax is distinctly frequent among young men. Secondary spontaneous pneumotliorax often occurs in the age group of more than 60. For the management of primary spontaneous pneumothorax, the use of pleural drain is common but of great value.
出处
《河北医学》
CAS
2008年第7期766-769,共4页
Hebei Medicine
关键词
自发性气胸
回顾性分析
胸腔闭式引流
Spontaneous pneumothorax
Retrospective Analysis
Pleural drain
