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报告２３例自发性气胸特殊情况的不同临床处理分析：（１）怀疑气胸，病情危重不允许Ｘ线检查，通过试穿确诊后抽气或行闭式引流；（２）气胸分房分隔及治疗过程中发生双侧气胸，分别对分隔不相通部分及再发气胸，抽气或行闭式引流术；（３）引流管阻塞及手术切口过大，应更换内径较大引流管及重新缝合切口；（４）支气管纤维镜检查明确为支气管阻塞致肺不张（肺癌２例，支气管内膜结核１例）。胸膜粘连、牵拉致创口不易愈合，通过引流管向胸腔内注射自体血后治愈。（５）负压吸引致病情加重，停用负压吸引，向胸腔注射粘连剂
Report of 23 cases of spontaneous pneumothorax different cases of different clinical analysis: (1) Suspected pneumothorax, critically ill do not allow X-ray examination, through the trial after the diagnosis of suction or closed drainage; (2) pneumothorax separation and treatment Bilateral pneumothorax occurred during the process, respectively, the separation of non-communicating part and the recurrent pneumothorax, suction or line of closed drainage; (3) drainage tube obstruction and surgical incision is too large, the larger diameter drainage tube should be replaced and re-suture incision ; (4) bronchial fibroscopy was clearly bronchial obstruction caused by atelectasis (lung cancer in 2 cases, bronchial tuberculosis in 1 case). Pleural adhesions, stretch wounds caused by easy to heal, through the drainage tube to the chest after the injection of autologous blood was cured. (5) negative pressure to cause aggravating illness, disable negative pressure to attract, to the thoracic cavity injection of adhesive agent