矽肺并发自发性气胸142例临床分析

A Clinical Analysis of 142 Cases of Silicosis with Spontaneous Pneumothorax

本文报告矽肺及矽肺结核合并自发性气胸142例(262例次),发现率分别为11.5%和32.1%。肺萎陷>20%者占52.2%,部位不典型者占31.7%,张力型气胸占32.4。治疗后14天内和30天内肺复张者分别占21.6%和56.8%,病死率达35.2%,复发率为37.3%。并对其临床表现、误诊原因、治疗及复发情况进行了讨论。

142 cases of silicosis and silicotuberculosis with 262%episodes of spontaneouspneumothorax were analyzed.The rate of occurrence were 11.5%and 32.1%,52.2%cases had their compression of lung higher than 20%.Regionnontypical were 31.7%.High-pressure type were 32.4%.Time of the lungdilatation was 21.6% and 56.8% respect32.4%.Time of the lung dilatationwas 21.6% and 56.8% respect32.4%.Time of the lung dilatation was 21.6%and 56.8% respectively after 14 and 30 days of treatment Mortality was35.2%.Relapse rate was 37.3%.The incidence,clinical manifestation,reasonof misdiagnosis and relapse were disscussed.