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目的将132例老年自发性气胸患者的临床诊治情况总结分析,以提高对其诊治的认识。方法回顾性分析132例老年自发性气胸的治疗方式、手术措施及术后处理情况。结果 29例患者经胸腔闭式引流后治愈。103例经过手术治疗,其中胸腔镜肺大疱切除术56例,胸腔镜辅助小切口手术20例,开胸手术27例。术后患者症状均缓解,肺功能提升,活动能力增强,随访未见气胸复发。结论老年自发性气胸患者的治疗应采取综合治疗办法,术前充分评估患者心肺功能,预测手术风险,积极心肺功能锻炼,选择合适的治疗方案,减少并发症,以获得最佳的治疗效果。
Objective To summarize the clinical diagnosis and treatment of 132 elderly patients with spontaneous pneumothorax to improve their understanding of diagnosis and treatment. Methods Retrospective analysis of 132 elderly patients with spontaneous pneumothorax treatment, surgical measures and postoperative management. Results 29 patients were cured after thoracic closed drainage. 103 patients underwent surgical treatment, including 56 cases of thoracoscopic pulmonary bullous resection, thoracoscopic assisted small incision in 20 cases and thoracotomy in 27 cases. Postoperative symptoms were relieved, pulmonary function, activity increased, no follow-up of pneumothorax recurrence. Conclusion The treatment of elderly patients with spontaneous pneumothorax should be taken comprehensive treatment, adequate assessment of patients before and after cardiopulmonary function, predict surgical risk, positive cardiopulmonary exercise, select the appropriate treatment options to reduce complications in order to obtain the best therapeutic effect.