自发性气胸323例临床分析.docVIP

自发性气胸323例临床分析 作者：郑忠生, 陈潮钦, 肖玲, 卢敏 作者单位：汕头大学医学院第一附属医院呼吸内科, 广东 汕头 515041 【摘要】 目的：探讨汕头市自发性气胸患者的临床特点。方法:收集2003年l月至2007年12月汕头大学医学院第一附属医院收治的自发性气胸病例共323例，对其临床资料进行回顾性分析。结果:原发性气胸190例（58.8%）,继发性气胸133例（41.2%），年龄分布呈双峰（10～30岁及＞60 岁）；男288例，女35例,男：女= 8.2∶1，42例（13.0%）患者经观察好转，72例（22.3%）予胸腔穿刺抽气、144例（44.6%）行胸腔闭式引流、17例（5.3%）抽气后胸腔闭式引流、48例（14.9%）外科手术治疗。其中痊愈307例（95.0%），自动出院9例（2.8%），转院1例（0.3%）,死亡6例（1.9%）。结论:自发性气胸以原发性气胸多见，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；胸腔闭式引流是原发性气胸常用有效的治疗方法。 【关键词】 自发性气胸； 回顾性分析； 胸腔闭式引流 　　Clinical Analysis of 323 cases of Spontaneous Pneumothorax 　ZHENG Zhong-sheng， CHEN Chao-qin， XIAO Ling， et al 　　The 1st Affiliated Hospital to Medical College of Shantou University，Guangdong Shantou 515041，China Abstract：Objective: To study clinical characteristics of patients with spontaneous pneumothorax in Shantou. Methods: Records of 323 patients with spontaneous pneumothorax were reviewed and analyzed．Results: Primary spontaneous pneumothorax occurred in 190 patients (58.8%). secondary spontaneous pneumothorax occurred in 133 patients（41.2%）. The age distribution showed a biphasic distribution. The proportion of male and female was 8.2∶1. 42 patients（13.0%） had improved by observation, 72 patients （22.3%）were treated by needle aspiration, 144 patients（44.6%）by pleural drain, 17 patients（5.3%） by needle aspiration and pleural drain. 48（14.9%）patients by surgical treatment. 6 patients were dead．Conclusions:The number of primary spontaneous pneumothorax is larger than that of secondary spontaneous pneumothorax in Shantou. Primary spontaneous pneumotliorax is distinctly frequent among young men. Secondary spontaneous pneumotliorax often occurs in the age group of more than 60. For the management of primary spontaneous pneumothorax, the use of pleural drain is common but of great value. Key words: Spontaneous pneumothorax； Retrospective Analysis； Pleural drain 　自发性气胸是呼吸系统常见急症，分为原发性气胸和继发性气胸。原发性气胸是指肺部X线常规检查未发现明显病变的健康者所发生的气胸，继发性气胸是指继发于肺脏各种疾病，如慢性肺结核、弥漫性肺间质纤维化、肺癌等。为了探讨