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目的:了解肺癌并自发性气胸的临床特点。方法:对1999年1月1日至2003年12月31日期间在上海市肺科医院住院的肺癌并自发性气胸23例患者的年龄、性别、肺癌分期、病理类型、发病机制及预后进行回顾性分析。结果:自发性气胸首发症状主要有胸闷、胸痛和气促。10例患者有吸烟史,6例患者于胸水引流过程中出现自发性气胸,8例患者于化疗后出现气胸。3例患者气管镜检查示气管或支气管不完全阻塞。结论:临床上肺癌并自发性气胸少见,临床表现无特异性,预后差。
Objective: To understand the clinical features of lung cancer and spontaneous pneumothorax. Methods: The age, sex, stage of lung cancer, pathological type, pathogenesis and prognosis of 23 lung cancer patients with spontaneous pneumothorax admitted to Shanghai Pulmonary Hospital from January 1, 1999 to December 31, 2003 were reviewed Sexual analysis. Results: The primary symptoms of spontaneous pneumothorax were chest tightness, chest pain and shortness of breath. Ten patients had a history of smoking, six had spontaneous pneumothorax during pleural effusion, and eight had pneumothorax after chemotherapy. Bronchoscopy in 3 patients showed incomplete tracheal or bronchial obstruction. Conclusion: There are rare clinical manifestations of lung cancer with spontaneous pneumothorax, nonspecific clinical manifestations and poor prognosis.