自发性气胸临床误诊案例

目的探讨18例自发性气胸的病因、诊断及误诊情况。方法将18例自发性气胸患者按年龄分为青中年与老年组进行诊治情况分析对比。结果老年组显效率54．6％，青中年显效率71．4％，院前误诊率55．6％。结论自发性气胸起病急，严重影响肺功能，甚至危及生命，及时诊疗尤为重要。自发性气胸的误诊率高，医务人员（特别是基层医务人员）必须提高诊断和治疗水平，以减少其误诊率。

Clinical Misdiagnosis Case of Spontaneous Pneumothorax

Objective] To investigate the etiology, diagnosis and misdiagnosis on 18 cases with spontaneous pneumothorax. Methods：18 cases with spontaneous pneumothorax were divided into two groups by age：younger adult group and elderly group,the data of which were analyzed and compared. Results：The effectual rate of elderly group was 54.6%, and that of younger aduh.group was 71.4%. The pre-hospital misdiagnosis rate was 55.6%. Conclusion： As rapid onset of spontaneous pneumothorax has seriously affected lung function, or even life threatening, the timely treatment is particularly important. The medical personnel （ especially at the grass roots level medical personnel） need to improve the level of diagnosis and treatment so as to reduce the current high rate of spontaneous pneumothorax misdiagnosis.