自发性气胸328例临床特点分析

The Clinical Character Analysis of 328 Patients with Spontaneous Pneumothorax

目的:分析自发性气胸的临床特点。方法:回顾性分析328例自发性气胸患者的临床资料。结果:闭合性气胸58例(17.68％);交通性气胸252例(76.83％);张力性气胸6例。闭合性气胸经单纯胸穿抽气治愈58例,肺完全复张时间平均1.5±0.5天;胸腔闭式引流术270例中治愈221例,肺完全复张时间平均8.5±3.5天。死亡20例;病死率为6.10％。结论:自发性气胸的临床特点因类型而异,老年人病情重,并发症多,病死率高。

Objective: To analysis the clinical character in spontaneous pneumothorax patients. Method: The clinical data of 328 spontaneous pneumothorax patients were analyzed retrospectively. Result: Among the 328 cases, the closed pneumothorax, communicating pneumothorax and tension pneumothorax are 58 cases(17,68%), 252cases(76.83%) and 6cases(l .83%). The pneumothorax of closed treated only by needle and cure 58 cases, the average time of pneumothorax return are 1.5±0.5 days. The 270 cases of pneumothorax of communication and tension treated by closed thoracic drainage and cure 221 cases, the average time of pneumothorax return are 8.5±3.5 days. 20 cases died and the death rate was 6.10%. Conclusion: The clinical feature of spontaneous pneumothorax appeared different with the various type. The aged patients with spontaneous pneumothorax were more complications and higher mortality.