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自发性气胸是呼吸系统的急重病之一,也是煤工尘肺的常见并发症。本文对1992年～1996年我院收治的35例煤工尘肺并发自发性气胸加以分析。 1 临床资料 1.1 一般资料 35例患者均为男性,年龄56～78岁,平均64.7岁。Ⅲ期尘肺27例,Ⅱ期尘肺6例,Ⅰ期尘肺2例。 1.2 基础病与并发症 合并肺气肿26例,肺心病12例,肺结核7例,肺癌2例。61例次发病中,并发胸腔积液10例次,皮下气肿9例次,纵隔气肿2例次。 1.3 诱因及临床症状 61例次发病中,无明显诱因39例次,剧咳9例次,屏气排便6例次,进食2例次,劳动1例次。原有呼吸困难症状逐渐加重35例次,突然胸闷、气急26例次,胸痛15例次,心慌22例次。 1.4 诊断方法与治疗转归 61例次发病中,胸腔穿刺诊断17例次,胸片诊断44例次,局限性气胸14例次。通过保守治疗、胸腔穿刺抽气、胸腔闭式引流等方法,
Spontaneous pneumothorax is one of the critical illness of the respiratory system, but also a common complication of coal workers pneumoconiosis. This article from 1992 to 1996 admitted to our hospital in 35 cases of coal workers pneumoconiosis complicated with spontaneous pneumothorax be analyzed. 1 Clinical data 1.1 General Information 35 patients were male, aged 56 to 78 years, mean 64.7 years. 27 cases of stage Ⅲ pneumoconiosis, 6 cases of stage Ⅱ pneumoconiosis and 2 cases of stage Ⅰ pneumoconiosis. 1.2 Basic diseases and complications associated with emphysema in 26 cases, 12 cases of pulmonary heart disease, tuberculosis in 7 cases, 2 cases of lung cancer. 61 cases of secondary disease, concurrent pleural effusion in 10 cases, 9 cases of subcutaneous emphysema, mediastinal emphysema in 2 cases. 1.3 Incentives and clinical symptoms 61 cases of secondary disease, no obvious incentive 39 cases, 9 cases of severe cough, breath stool 6 times, eating 2 cases, labor 1 case times. The original dyspnea symptoms gradually aggravated 35 cases, sudden chest tightness, shortness of breath 26 cases, 15 cases of chest pain, palpitation 22 cases. 1.4 The diagnosis and treatment of 61 cases of sub-incidence of thoracentesis in the diagnosis of 17 cases, chest X-ray diagnosis of 44 cases, 14 cases of localized pneumothorax. Through conservative treatment, thoracentesis aspiration, closed thoracic drainage and other methods,