老年人自发性气胸56例临床分析  

Clinical analysis of 56 elderly patients with spontaneous pneumothorax

作　　者：邱栋发[1] 黄窕女亘 李雄辉[1] 庄梁[1] 

机构地区：[1]福建省三明市第一医院呼吸内科,福建三明365000

出　　处：《中国现代医学杂志》2004年第3期103-104,106,共3页China Journal of Modern Medicine

摘　　要：目的　探讨老年人自发性气胸的临床特点及预后。方法　回顾性分析该科近 10年来收治的 5 6例老年人自发性气胸的临床资料。结果　 5 6例患者中 ,5 4例 (96 .4 % )伴有各种慢性肺部疾病 ,4 9例(87.5 % )有诱发因素。症状主要表现为突发或突然加重的呼吸困难 (98.2 % ) ,胸痛发生率 4 6 .4 %。误诊率14 .3%。 5 5例 (98.2 % )需要减压处理。死亡 3例 ,死亡率 5 .4 %。结论　老年人自发性气胸常伴有各种慢性肺部疾病 ,临床表现不典型 ,易误诊 ,有一定死亡率 ,需及时予适宜的减压处理。Objective:To analyze the clinical and prognosis of spontaneous pneumothorax in elderly patients. Methods: The clinical data of 56 elderly patients with spontaneous pneumothorax refered to the Respiratory Department of Sanming First Hospital, Fujian in recent ten years were analyzed retrospectively. Results: Among the 56 cases, 54 (96.4%) patients had be accompanied by chronic pulmonary diseases, and 49 (87.5%) had inducing causes. The main clinical symptoms were dyspnea (98.2%), which was acute attack or sudden increase, and chest pain (46.4%). 55 (982%) patients needed chest drainages. The rate of misdiagnosis was 14.3%. the mortality was 5.4%.Conclusions: Spontaneous pneumothorax in elderly patients is usually accompanied by a variety of chronic pulmonary deseases. The clinical manifestations are atypical and frequently misdiagnosed. Some patients may die of it and most patients need rapidly proper chest drainages.

关 键 词：气胸 自发性 诊断 治疗 老年人 

分 类 号：R561.4[医药卫生—呼吸系统]