自发性气胸76例临床分析

目的探讨76例自发性气胸的病因、症状、诊断、误诊及治疗方法。方法将76例自发性气胸病人按年龄分为青壮年组与老年组进行对比分析。结果青壮年组治疗显效率82%,老年组治疗显效率76.9%;76例患者误诊率36.8%,青壮年组18%,老年组73%。结论自发性气胸是临床常见急症,若未及时确诊、适当治疗,会影响肺功能甚至威胁生命,其病因、发病机理、诊断、治疗值得临床探讨和重视;误诊率较高,医务人员应提高对气胸认识及专业水平,以减少误诊。

Clinical analysis of 76 cases of spontaneous pneumothorax

Objective To explore the cause,symptoms,diagnosis,misdiagnosis and treatment method of spontaneous pneumrothorax (SP). Methods Seventy-six patients with SP were divided into two groups: younger group and elder group,based on patients' age. The clinical data of the two groups were analyzed and compared. Results The effectiveness rates after the treatment for the younger and elder groups were,respectively,82% and 76.9%. The overall misdiagnosis rate was 36.8%,and it was 18% for the younger group and 73% for the elder groups. Conclusion The SP is a common disease in clinic. It may affect pulmonary functions even risk patient's life if not correctly diagnosed and treated. IT has high rate of misdiagnosis. As such,the physicians should increase their level of professional knowledge about SP and reduce the misdiagnosis rate.