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目的探讨深圳市自发性气胸的临床特点。方法收集2003年1月-2006年12月深圳市第二人民医院收治的自发性气胸病例共532例,对其临床资料进行回顾性调查分析。结果原发性气胸451例(84.78%)继发性气胸81例(15.22%),年龄分布呈双峰(15-30岁及≥60岁);男:女=11.98:1,66例患者经观察好转,312例予胸腔穿刺抽气、97例行胸腔闭式引流以及53例外科手术治疗后出院,4例死亡。结论自发性气胸中以原发性气胸为多见,且多发于青壮年,男性较女性多见;继发性气胸相对较少,多发于中老年;胸腔穿刺抽气治疗可以作为原发性气胸的首选治疗方法。
Objective To investigate the clinical features of spontaneous pneumothorax in Shenzhen. Methods A total of 532 cases of spontaneous pneumothorax were collected from Shenzhen Second People’s Hospital from January 2003 to December 2006, and their clinical data were retrospectively analyzed. Results There were 451 cases (84.78%) of primary pneumothorax and 81 cases (15.22%) of secondary pneumothorax. The age distribution was bimodal (15-30 years old and ≥60 years old), male and 11.98 cases Observation improved, 312 cases of thoracentesis aspiration, 97 cases of closed thoracic drainage and 53 cases of surgical treatment were discharged, 4 patients died. Conclusions Primary pneumothorax is more common in spontaneous pneumothorax and occurs more frequently in young adults than in women. Secondary pneumothorax is relatively rare in middle-aged and elderly patients. Thoracentesis and aspiration therapy can be used as primary pneumothorax The preferred treatment.