老年人气胸58例临床特点观察

Clinical Features of Pneumothorax in the Aged

目的:探讨老年人气胸的临床特点。方法:对58例老年人气胸的临床资料与同期60例青年人气胸作对比分析。结果:发现老年人气胸的临床特点为病情重,气急发生率高,体征不典型,常易被误诊。气胸类型以张力性居多,病死率高(12％)。大多由一种或两种原发病引起,并发症多,肺平均复张时间长(18.6d)。结论:老年自发性气胸病情重,肺平均复张时间长。

Objective: To Study the clinical features of pneumothorax in the aged. Methods: Comparative analysis of the clinical features of pneumothorax in 58 aged and 60 young patients hospitalized during the same period. Results: in the aged group, the clinical manifestations were much severer, the incidence of dyspmea was higher, and the clinical misdiagnosis occurred more frequently because of lack of typical physical features. Tension pneumothorax was commoner, resulting in a higher mortality (7/58) .All the 58 aged cases had suffered from one or more underlying diseases, among which respiratory and circulatory complications were the commonest. The average time for lung re-expansion was longer( 18.4 days) . Conclusion:Pneumothorax in the aged the clinical manifestations were much severer,the average time for lung re-expansion was longer.