论文部分内容阅读
为提高对老年自发性气胸的诊断和治疗水平，本文对我院１９８８年～１９９６年住院老年自发性气胸８０例进行临床分析，其结果为：男性发病多（６８／８０），基础疾病以慢性阻塞性肺病（ＣＯＰＤ）为多（５７／８０），临床表现以咳嗽、胸闷、气促、呼吸困难为主。由于存在ＣＯＰＤ，临床症状往往不典型，极易误诊或漏诊。根据临床表现及用气胸箱测压分型，其中以交通性与张力性为多（６８／８０），常有分隔呈局限性或双侧等，需积极给予穿刺抽气或安水封瓶引流，治疗效果较好，本文治愈达６３８％（５１／８０）。据此作者认为对老年自发性气胸应结合临床症状，体征及辅助检查进行综合判断，若高度怀疑气胸时，应积极排气治疗，预后较好，否则，易导致呼吸衰竭而死亡。
In order to improve the diagnosis and treatment of spontaneous pneumothorax in elderly patients, 80 cases of spontaneous pneumothorax hospitalized in our hospital from 1988 to 1996 were analyzed. The results showed that most of the patients had morbidity (68/80) Obstructive pulmonary disease (COPD) for the more (57/80), the clinical manifestations of cough, chest tightness, shortness of breath, difficulty breathing. Due to the presence of COPD, clinical symptoms are often not typical, easily misdiagnosed or missed diagnosis. According to clinical manifestations and pneumoperitoneum manometry type, of which traffic and tension is more (68/80), often separated by limitations or bilateral, etc., to be actively given puncture or drainage of water seal drainage , The treatment effect is better, the cure of 63.8% (51/80). According to the author’s opinion, the elderly spontaneous pneumothorax should be combined with clinical symptoms, signs and laboratory tests to make a comprehensive judgment, if a high degree of suspicion of pneumothorax, should actively exhaust treatment, the prognosis is good, otherwise easily lead to respiratory failure and death.