老年人自发性气胸的临床特点

本文报告60岁以上老年人自发性气胸38例,气胸病因以慢支肺气肿最多(21例,55.26％),其次为肺结核(16例,42.10％)。临床表现以呼吸困难,气管移向健侧为多,张力型18例(47.37％)。误诊8例(21.05％)。死亡4例,病死率10.53％。文中强调必须详细询问病史和细致地进行体检,张力型者应以闭式水封瓶引流处理。

CLINICAL FEATURES OF THE SPONTANEOUS PNEUMOTHORAX IN AGED PATIENTS

38 patients being over 60 years with spontaneous pneumothorax were reported in this paper.Chronic bronchitis associated with emphysema ( 21 patients, 55.26% ) was the most common cause of pneumothorax in this group. Pulmonary tuberculosis was the next cause ( 16 patients, 42.1% ) . Dyspnea and the shifting of trachea to the contralateral side were the dominant clinical manifestations. 18 patients(47.37%)suffered from tension pneumothorax. 8 patinets (21.05%) were misdiagnosed as other diseases. The mortarity in this group was 10.53% ( 4 patients) .In this paper the author emphasizes that the history of this disease must be inquired thoroughly and physical examination must be taken carefully. Patients with tension pneumothrax should be tr-ea ted by closed drainage with water-sealed bottle.