自发性气胸92例临床分析  

Clinical analysis in the 92 cases with spontaneous pneumothorax

作　　者：荣光生 仇煜[1] 赵世光[1] 严玉兰[1] 施德重 严玉玲[1] 

机构地区：[1]安徽省合肥市第三人民医院呼吸科,安徽合肥230022

出　　处：《安徽医药》2009年第7期798-799,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的分析不同年龄组患者自发性气胸的临床特点,提高自发性气胸的诊治水平。方法对不同年龄组(老年组:年龄≥60岁,青年组:年龄≤40岁)自发性气胸的病因、诱因、临床表现、气胸类型和治疗方法进行对比分析。结果老年组继发性气胸明显高于青年组(P<0.01)。两组气胸发病的诱因无显著差异(P>0.05)。胸痛发生率青年组明显高于老年组(P<0.01),呼吸困难、咳嗽和咳痰发生率老年组明显高于青年组(P<0.01)。两组气胸类型无显著性差异(P>0.05)。需给予胸腔闭式引流术治疗的比率老年组明显高于青年组(P<0.01)。结论老年人继发性气胸多见,呼吸困难、咳嗽、咳痰明显,需要胸腔闭式引流术治疗的比率较高。青年人气胸胸痛多见,胸腔穿刺抽气常可取得良好疗效。Aim To enhance the diagnosis and treatment of the spontaneous pneumothorax by analysing the clinical features of the spontaneous pneumothorax among various age groups. Methods The cause, inducement, clinical manifestation, type of pneumothorax and treatment among various age groups （the senile group： age ≥60 years old, the youth group： age 40 years old）were contrasted. Results The ratio of secondary pneumothorax in the senile group was much higher than that in the youth group （P 〈 0. 01 ）. There wasn＇ t a significant difference in the ratio of inducement between the senile group and the youth group （ P 〉 0. 05 ）. The incidence of chest pain in the youth group was much higher than that in the senile group（ P 〈 0. 01 ）. The incidence of respiratory difficulty, cough and coughing sputum was much higher in the senile group than in the youth group （ P 〈 0. 01 ）. There wasn＇ t a significant difference in the type of pneumothorax between the senile group and the youth group （P 〉 O. 05 ）. The thoracic close drainage in the senile group was more thanthat in the youth group （P 〈 0.01 ）. Conclusion The senile are more likely to have secondary pneumothorax. They usually have respiratory difficulty, cough and coughing sputum. There is a higher ratio of the senile who need to be treated by thoracic close drainage. The youth are more likely to have chest pain and thoracic puncture usually results in good recovery.

关 键 词：气胸 老年人 青年人 临床分析 

分 类 号：R561[医药卫生—呼吸系统]