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本文收集我院近10年来收治的60岁以上自发性气胸46例,与同期的中青年气胸50例进行了比较。 1 临床资料 1.1 性别与年龄:老年组46例中男43例,女3例;年龄60～78岁,平均67.4岁。中青年组50例中男45例,女5例;年龄15～54岁,平均31.5岁。 1.2 原发病与诱因:老年组中原发病为慢性支气管炎并肺气肿者42例,占91.3％;慢性纤维空洞型肺结核3例;1例无原发病可寻。中青年组有8例继发于支气管哮喘、肺结核及胸廓畸形,占16％;42例为特发性气胸,占84％。老年组因肺部感染、咳嗽
In this paper, we collected 46 cases of spontaneous pneumothorax over the age of 60 admitted to our hospital in the past 10 years, compared with 50 cases of pneumothorax in the same period. 1 Clinical data 1.1 Sex and age: 46 cases of elderly group of 43 males and 3 females; aged 60 to 78 years, mean 67.4 years. The middle-aged and young group of 50 cases, 45 males and 5 females; aged 15 to 54 years, mean 31.5 years. 1.2 primary disease and incentives: the elderly group of Central Plains for the chronic bronchitis and emphysema in 42 cases, accounting for 91.3%; 3 cases of chronic fibrous hollow tuberculosis; 1 case can be found without the original disease. 8 cases of young and middle-aged group were secondary to bronchial asthma, pulmonary tuberculosis and thoracic deformity, accounting for 16%; 42 cases of idiopathic pneumothorax, accounting for 84%. Elderly group due to lung infection, coughing