老年人自发性气胸临床探讨分析

A Clinical Study of Spontaneous Pneumothorax in Elderly Patients

目的:探讨老年人自发性气胸的临床特点、治疗及预后。方法:对本院在2005年11月至2008年4月间收治的79例老年人自发性气胸患者临床资料进行回顾性分析。结果:老年人自发性气胸大多有肺部基础疾病,临床表现缺乏特异性,本组误诊为慢性阻塞性肺病急性发作4例、左心衰2例、支气管哮喘1例。气胸类型:张力性气胸47例(72.1%),闭合性气胸11例,交通性气胸21例。采用以肋间闭式引流的为主的治疗措施,效果好。结论:老年人自发性气胸大多有肺部基础疾病,易误诊,气胸的类型以张力性气胸多见,治疗多需排气减压术,及早的排气减压可望缓解症状,缩短肺复张时间,减少患者住院天数,降低死亡率,提高老年人生活质量。

Objective： To evaluate the clinical character,treatment and prognosis for elderly patients with spontaneous pneumothorax.Methods： Seventy-nine elderly patients with spontaneous pneumothorax enrolled from November 2005 to April 2008 were retrospectively analyzed.Results： It was absence of clinical manifestation for elderly.There was misdiagnosis easily such as 4 acute respiratory disorders,2 left heart failure and 1 bronchial asthma.Types of spontaneous pneumothorax were following： 47 tension pneumothorax,21 closed pneumothorax,11 communicating pneumothorax.There was good efficacy in the treatment of intercostal closed drainage primarily.Conclusion： Lung diseases exist in almost of elderly patients with spontaneous pneumothorax,misdiagnosis easily happens and type of spontaneous pneumothorax is mainly tense.In treatment of elderly patients with spontaneous pneumothorax it is necessary to exhaust and reduce pressure operation.It could improve the quality of lives of elderly patients to exhaust and reduce pressure operation,early alleviate symptom,reduce time to reopen lung,reduce time in hospital and cut the rate of mortality.