论文部分内容阅读
本文分析了我院近8年所收治的102例青年人(年龄≤40岁)自发性气胸(SP),重点探讨青年人SP临床特点及对少量(肺压缩<30％)田患者的治疗体会。 1.临床资料 一般情况 男性91例,女性11例。男女之比为8.3:1,年龄18～37岁,平均25.4岁,瘦或瘦高体型83例,占81.4％。用力后发病6例,喷嚏3例,咳嗽3例,其余均无明显诱因。主要临床表现:胸痛或胸背痛者占82％,气紧或胸闷者占78％,干咳者占66％,休息时明显呼吸困难者占13％。胸X线片表现:左侧55例,右侧47例,肺压缩<30％31例,30％～60％25例,>60％46例,患侧少量胸腔积液87例,占85.3％,大量血气胸4例,占3.9％。气胸类型:闭合型44例,交通型39例,张力型19例。原发病:浸润型肺结核4例,结核性胸膜炎1例。复发26例(25.5％)。其中复发2次8例,3次5例,4次2例,5次1例,均为同侧复发。
This article analyzes 102 cases of young people (aged ≤40 years) with spontaneous pneumothorax (SP) admitted to our hospital in the past 8 years, and focuses on the clinical features of young people and the treatment of patients with small amount of lung (<30%). . 1. Clinical data The general situation of 91 males and 11 females. The ratio of males to females was 8.3: 1, with a mean age of 25.4 years (range, 18-37 years), and 83 lean or lean body types (81.4%). 6 cases of forced onset, 3 cases of sneezing, cough in 3 cases, the rest were no obvious incentive. The main clinical manifestations: chest pain or chest pain accounted for 82%, gas tightness or chest tightness accounted for 78%, dry cough accounted for 66%, resting breathing significantly 13%. Chest X-ray showed 55 cases on the left, 47 cases on the right, 31 cases of pulmonary compression <30%, 25 cases of 30% -60%, 46 cases of> 60%, 87 cases of pleural effusion on the affected side, accounting for 85.3% , A large number of pneumothorax in 4 cases, accounting for 3.9%. Pneumothorax type: closed type in 44 cases, traffic type in 39 cases, tension type in 19 cases. Primary disease: infiltration of pulmonary tuberculosis in 4 cases, tuberculous pleurisy in 1 case. Recurrent in 26 cases (25.5%). Among them, there were 8 cases relapsed twice, 5 cases 3 times, 2 cases 4 times and 1 case 5 times, all of which were ipsilateral recurrence.