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1988～1993年,我们收治32例自发性气胸,病人年龄20～60岁。其中闭合性7例,肺压缩15％～25％;开放性20例,肺压缩30％～75％;张力性5例,肺压缩75％～95％。治愈30例,死亡2例,治愈率为93.8％。现将治疗体会报告如下。1 自发性气胸的分类诊断 自发性气胸分闭合性、开放性、张力性三类,本组主要据据病人的临床表现、肺压缩面积以空针试压法进行分类诊断。其中闭合性自发性气胸除有轻度呼吸困难,肺压缩<25％外,空针试压法显示刺入胸腔后,抽吸1ml胸腔内气体,气体不随呼吸回入胸腔。开放性自发性气胸除有中度呼吸困难,
From 1988 to 1993, we treated 32 cases of spontaneous pneumothorax, the patient aged 20 to 60 years. Among them, 7 were closed, 15% ~ 25% of lung compression, 20 were open, 30% ~ 75% of pulmonary compression, 5 of tension and 75% ~ 95% of pulmonary compression. 30 cases were cured, 2 died, the cure rate was 93.8%. Now treatment report is as follows. A classification of spontaneous pneumothorax Diagnosis of spontaneous pneumothorax points closed, open, tension three categories, the group mainly based on the clinical manifestations of patients, pulmonary compression area to empty needle test pressure classification diagnosis. Closed spontaneous pneumothorax in addition to mild dyspnea, pulmonary compression <25%, the empty needle pressure test shows the piercing the chest, the suction of 1ml of chest gas, the gas does not enter the chest with breathing. Open spontaneous pneumothorax in addition to moderate breathing difficulties,