患慢性肺部炎性病变的老年患者,并发自发性气胸是较为常见的内科急症。其原发病可导致不同程度的呼吸困难、胸痛等。临床症状常不典型,当呼吸困难逐渐加重或突然加重时,常被误诊和漏诊。现将我院1990年1月～1999年1月收治的46例60岁以上慢性肺部炎症并发自发性气胸的老年患者情 Elderly patients with chronic inflammatory lung disease, complicated by spontaneous pneumothorax is a more common medical emergency. The primary disease can lead to varying degrees of breathing difficulties, chest pain and so on. Clinical symptoms are often not typical, when the breathing difficulty gradually aggravated or sudden increase, often misdiagnosed and missed diagnosis. Now in our hospital from January 1990 to January 1999 admitted 46 cases of chronic lung inflammation in patients over 60 years with spontaneous pneumothorax in elderly patients