老年与青年人自发性气胸的临床对照分析  

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

作　　者：胡华震[1] 

机构地区：[1]皖南医学院附属弋矶山医院肺科

出　　处：《皖南医学院学报》1992年第2期98-100,共3页Journal of Wannan Medical College

摘　　要：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.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.

关 键 词：气胸 老年病学 肺疾病 

分 类 号：R561.4[医药卫生—呼吸系统]