老年人自发性气胸48例临床分析

目的分析老年人自发性气胸的临床特点。方法对我院肺科1990年1月至2007年2月收治的48例老年人、42例青年人自发性气胸患者临床资料进行回顾性分析。结果老年组多存在肺部基础病变,以慢性阻塞性肺部疾病和肺结核多见,紫绀、呼吸困难较青年组明显。老年人自发性气胸病情往往较重,并发症多于年轻人。结论老年自发性气胸临床表现复杂,容易误诊和漏诊,及时发现和治疗可降低病死率。

Clinical features of spontaneous pneumothorax in aged patients

Objective To study the clinical features of spontaneous pneumothorax in aged patients. Methods The clinical data of 48 cases of aged patients and 42 young patients with spontaneous pneumothorax were analyzed retrospectively. Results In aged group, the spontaneous pneumothorax often occurs in patients with such underlying pulmonary disease as COPD and pulmo- nary tuberculosis, and the incidence of cyanosis and dyspnea was higher than that in young group. Condusion The clinical manifestations of spontaneous pneumothorax in aged patients are atypical and frequently misdiagnosed. It is particularly important to diagnose and treat the disease early to decrease the mortality of aged group.