老年与青年人自发性气胸的临床对照分析

本文对35例老年气胸与同期39例青年气胸患者作对比分析.老年气胸的特点:临床病情重,气急症状发生率高,体征不典型,常易被误诊;气胸类型以张力性气胸居多(20/35),均有一种或两种原发病所引起,并发症多(25/35):病死率高(17%),肺平均复张时间较长(21天),老年气胸在临床上常会遇到各种复杂问题,若处理不当,常可危及生命.并对临床特征和治疗上应注意的几个问题进行了讨论.

A COMPARATIVE ANALYSIS OF SPONTANEOUS PNEUMOTHORAX IN THE AGED AND IN THE YOUNG

Clinical comparison was performed between 35 cases of pneumotorax in the aged and 39 cases in the young hospitalized during the same period.In the aged group,the clini- cal manifestations were much severer,the incidence of dyspnoea was high,and because of lack of typical physical features,clinical misdiagnosis occurred frequently.Tension pneumothorax was common(20/35).All the 35 cases had suffered from one or more underlying diseases, among which respiratory and/or circulatory complications were the commonest(25/35),re- suiting in a higher motality(17%).The average duration of lung re-expanding was longer(21 days).some problems to which attention should be paid in the treatment of pneumothora in the elderly were discussed.