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青年人自发性气胸239例与同期住院的288例中老年人自发性气胸相比较,青年病人多有突然用力、举重物、剧咳等致胸内压骤增的因素为诱因(71.5%),临床以胸痛、胸闷为主要表现(82.4%),血气胸发生率较中老年组高。闭合型气胸以气胸箱胸腔排气治疗为主,张力型、交通型气胸及以气胸箱胸腔排气治疗肺仍未复张的闭合型气胸,则以胸腔闭式引流为主。对反复复发及血气胸经闭式引流和负压吸引肺仍未复张者,可行手术治疗。
239 cases of young spontaneous pneumothorax and 288 cases of spontaneous pneumothorax hospitalized in the same period compared to the same period, more young patients with sudden force, weight lifting, cough and other causes of thoracic pressure surge factors (71.5% ), Clinical chest pain, chest tightness as the main performance (82.4%), the incidence of pneumothorax higher than the middle-aged group. Closure pneumothorax to the main treatment of thoracic gas chest chest exhaust, tension-type, traffic-type pneumothorax and pneumothorax chest thoracic exhaust treatment of lung is still not closed the closed pneumothorax, the main closed thoracic drainage. Repeated relapse and pneumothorax closed drainage and negative pressure to attract the lungs have not yet recovered, feasible surgical treatment.