自发性气胸是呼吸系统常见疾病,老年患者常并发的呼吸系统慢性疾病病情危重,有其自身临床特点,易造成漏诊、误诊,病死率高。本文将我院1992年1月以来收治的66例自发性气胸患者中年龄>55岁,有22例,现分析如下。 临床资料 1 一般资料 老年组22例,男20例,女2例,年龄55～81岁,平均64岁。对照组44例,男43例,女1例,年龄17～40岁,平均27.8岁。诊断均经胸部X线检查证实。 2 原发病 老年组中有原发病20例(90.9％),其中COPD16例(均符合1997年8月中华 Spontaneous pneumothorax is a common respiratory disease, elderly patients often complicated by chronic respiratory disease in critical condition, has its own clinical features, easily lead to missed diagnosis, misdiagnosis, high mortality. In our hospital since January 1992 admitted 66 cases of spontaneous pneumothorax in patients aged> 55 years, there are 22 cases, are analyzed as follows. Clinical data 1 General information 22 elderly patients, 20 males and 2 females, aged 55 to 81 years, mean 64 years. Control group, 44 cases, 43 males and 1 female, aged 17 to 40 years, mean 27.8 years. The diagnosis was confirmed by chest X-ray examination. There were 20 cases (90.9%) of the primary disease in the primary disease group, of which 16 cases were COPD (all in line with the Chinese