| 自发性气胸581例临床分析 |
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| 引用本文： | 车英玉,王斌策. 自发性气胸581例临床分析[J]. 承德医学院学报, 2009, 26(4) |
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| 作者姓名： | 车英玉 王斌策 |
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| 作者单位： | 北京市顺义区空港医院外科,北京顺义,101318;首都医科大学附属复兴医院外科 |
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| 摘 要： | 目的:探讨自发性气胸的临床诊断与治疗方法.方法:回顾性分析我院1999年1月-2009年1月收治的581例自发性气胸患者的临床资料并复习文献.结果:581例患者中,原发性气胸342例(58.9%),继发性气胸239例(41.1%),年龄10-82岁,男:女=8.2:1.其中76例(13.1%)患者经观察好转,130例(22.4%)给予胸腔穿刺抽气,259例(44.6%)行胸腔闭式引流,31例(5.3%)行抽气后胸腔闭式引流,85例(14.6%)行肺大疱切除术手术治疗.其中痊愈552例(95.0%),自动出院17例(2.90%),死亡12例(2.1%).结论:自发性气胸以原发性气胸多见,且多发于青壮年,男性较女性多见;继发性气胸相对较少,多发于中老年,慢性阻塞性肺疾病最常见.胸腔闭式引流是自发性气胸常用而有效的治疗方法,肺大疱切除术手术治疗是根治的方法.
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| 关 键 词： | 自发性气胸 胸腔闭式引流 肺大疱切除术 |
CLINICAL ANALYSIS OF 581 SPONTANEOUS PNEUMOTHORAX PATIENTS |
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| CHE Ying-yu,WANG Bin-ce. CLINICAL ANALYSIS OF 581 SPONTANEOUS PNEUMOTHORAX PATIENTS[J]. Journal of Chengde Medical College, 2009, 26(4) |
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| Authors: | CHE Ying-yu WANG Bin-ce |
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| Affiliation: | CHE Ying-yu,WANG Bin-ce (Department of Surgery,Beijing Airport Hospital,Beijing Shunyi 101318,China) |
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| Abstract: | Objective:To investigate the clinical diagnosis and treatment of spontaneous pneumothorax. Methods:The clinical data of 581 spontaneous pneumothorax patients that were in hospital from 1999.1 to 2009.1 were retrospectively analyzed and the literatures were reviewed.Results:Among 581 patients,342 (58. 9%) cases were primary spontaneous pneumothorax and 239 cases (41.1%) were secondary spontaneous pneumothorax.The age of patients was 10 to 82 years old and the ratio of male and female patients was 8.2:1. 76 c... |
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| Keywords: | Spontaneous pneumothorax Closed chest drainage Bullectomy |
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