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目的分析老年人自发性气胸的临床特点。方法对我院肺科1990年1月至2007年2月收治的48例老年人、42例青年人自发性气胸患者临床资料进行回顾性分析。结果老年组多存在肺部基础病变,以慢性阻塞性肺部疾病和肺结核多见,紫绀、呼吸困难较青年组明显。老年人自发性气胸病情往往较重,并发症多于年轻人。结论老年自发性气胸临床表现复杂,容易误诊和漏诊,及时发现和治疗可降低病死率。
Objective To analyze the clinical features of spontaneous pneumothorax in the elderly. Methods The clinical data of 48 elderly patients and 42 young patients with spontaneous pneumothorax admitted to our hospital from January 1990 to February 2007 were retrospectively analyzed. Results There were many pulmonary lesions in the elderly group. Chronic obstructive pulmonary disease and pulmonary tuberculosis were more common. Cyanosis and dyspnea were more obvious in the elderly group than those in the young group. Spontaneous pneumothorax elderly patients are often heavier, more complications than young people. Conclusion The clinical manifestations of elderly spontaneous pneumothorax complex, easily misdiagnosed and missed diagnosis, timely detection and treatment can reduce mortality.