老年人自发性气胸临床诊疗探讨

Study on the clinical characteristics and treatment of senile spontaneous pneumothorax

目的 探讨老年人自发性气胸的临床特点及治疗。方法 收集 1995年 1月～ 2 0 0 2年 12月我院收治的 5 0例老年人自发性气胸的临床资料 ,并与同期 6 0例青少年气胸作对照。结果 老年组慢性阻塞性肺病 (chronicob structivepulmonarydisease,COPD) 39例 (78% ) ,合并肺部感染者 2 0例 (40 % ) ,误诊 5例 (10 % ) ,34例 (6 8% )采用闭式引流 ,2例手术治疗 ,2例死亡。结论 老年人自发性气胸多为继发性 ,易误诊 。

Objective To study the clinical characteristics and treatment of senile spontaneous pneumothorax. Methods 50 aged patients and 60 adolescent patients,all suffering spontaneous pneumothorax in our hospital between Jan, 1995 and Dec, 2002 were selected and divided into aged patient group and control group. Results 39 cases (78%) in aged patient group were assoicated with COPD, 20(40%) with pulmonary infection and 5(10%) were misdiagnosed . The treatment in aged patient group was as follows: chest tube placement 34(68%), surgical interventions 2 (4%), 2(4%) died. Conclusion Spontaneous pneumothorax in aged patient group is mostly secondary and easily to be misdiagnosed. So more emphases should be paid on it .