43例女性自发性气胸临床分析  

Clinical analysis of 43 female patients with spontaneous pneumothorax

作　　者：俞龙[1] 谢利军[1] 金琳羚[1] 张化良 陈亮[3] 解卫平[1] 

机构地区：[1]南京医科大学第一附属医院呼吸科,江苏南京210029 [2]徐州市邳州东方医院呼吸科,江苏徐州221300 [3]南京医科大学第一附属医院胸外科,江苏南京210029

出　　处：《临床肺科杂志》2013年第4期589-590,共2页Journal of Clinical Pulmonary Medicine

基　　金：国家自然科学基金(81273571);江苏省人事厅六大人才高峰(2008074);江苏高校优势学科建设工程资助项目

摘　　要：目的探讨43例女性自发性气胸临床特点。方法分析43例女性自发性气胸患者临床特点、处理及预后。结果 39例经保守治疗、抽气、胸腔闭式引流术、外科手术等综合治疗,效果满意;4例月经性气胸经内外科及妇产科联合治疗,未见复发。结论女性自发性气胸以原发性气胸为主,继发性气胸多见于基础疾病患者,典型自发性气胸容易诊断治疗,对于反复发作的女性自发性气胸患者应考虑月经性气胸可能。Objective To investigate the clinical features and the prognosis after treatment of 43 female patients with spontaneous pneumothorax. Methods The clinical features, process, and prognosis of 43 female patients with spontaneous pneumothorax were retro- spectively analyzed. Results 39 patients were successfully cured by expectant treatment, air exhaust, chest tube drainage, and surgical interventions. 4 catamenial pneumothorax patients were cured successfully by the combined treatment of internal medicine, surgery and ob- stetrics and gynecology. Conclusion The female spontaneous pneumothorax mainly is primary pneumothorax, and the secondary pneumo- thorax mostly happens in patients with basic diseases. The typical spontaneous pneumothorax is easy to be cured. The possibility of cata- menial should be considered when spontaneous pneumothorax occurs repeatedly in women.

关 键 词：自发性气胸 女性 月经性气胸 

分 类 号：R561.4[医药卫生—呼吸系统]