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目的 分析老年肺结核并自发性气胸的临床特点 ,以便合理治疗。方法 回顾分析近5年来我院收治的老年肺结核并自发性气胸 43例 ,并与同期收治的 5 5岁以下的肺结核并自发性气胸 6 1例患者的临床资料进行比较。结果 老年肺结核并自发性气胸具有以下特点 :(1)以感染诱发多见 ;(2 )症状以呼吸困难为多见 ,且耐受性差 ,应及时采取减压治疗 ;(3)复发率高 ;(4)体征不典型 ;(5 )愈合时间长。结论 老年肺结核并自发性气胸的特点决定了该类患者应及时减压治疗 ,积极控制感染
Objective To analyze the clinical features of elderly pulmonary tuberculosis and spontaneous pneumothorax in order to treat it properly. Methods A retrospective analysis of 43 cases of elderly pulmonary tuberculosis and spontaneous pneumothorax admitted to our hospital in the recent 5 years was performed and compared with the clinical data of 61 cases of pulmonary tuberculosis and spontaneous pneumothorax under 5 5 years old admitted in the same period. The results of elderly pulmonary tuberculosis and spontaneous pneumothorax has the following characteristics: (1) infection induced more common; (2) the symptoms of dyspareunia are more common, and poor tolerance, prompt decompression therapy; (3) high recurrence rate; (4) signs of atypical; (5) healing time. Conclusion Elderly pulmonary tuberculosis and spontaneous pneumothorax characteristics of such patients should be promptly decompression therapy, and actively control the infection