论文部分内容阅读
1临床资料本组80例,男60例,女20例;年龄60岁以上40例,35-59岁32例,35岁以下8例。原发病:慢性支气管炎、阻塞性肺气肿50例,肺结核18例(其中8例存在阻塞性肺气肿),单纯性慢性支气管4例,其他疾病8例。气胸病史:第1次气胸者24例,2次以上56例。人院诊断:闭合性气胸4例,交通性气胸46例,张力性气胸30例(其中误诊8例)。治疗:单纯抽气14例,针头胸腔闭式引流26例,手术切开闭式引流40例。均辅以抗生素,止咳、制动、吸氧等对症处理。并发症:引流不畅8例,胸腔感染10例,窒息8例,肺性脑病16例。直接死亡原因:呼吸衰竭52例,肺性脑病16例,窒息8例,纵隔气肿
1 Clinical data The group of 80 patients, 60 males and 20 females; aged 60 years of age 40 cases, 35-59 years in 32 cases, 8 cases of 35 years of age. Primary disease: chronic bronchitis, obstructive pulmonary emphysema in 50 cases, tuberculosis in 18 cases (8 cases of obstructive pulmonary emphysema), simple chronic bronchial in 4 cases, other diseases in 8 cases. Pneumothorax history: 24 cases of the first pneumothorax, 56 cases more than 2 times. Hospital diagnosis: 4 cases of closed pneumothorax, 46 cases of traffic pneumothorax, tension pneumothorax 30 cases (of which 8 cases were misdiagnosed). Treatment: simple aspiration in 14 cases, 26 cases of needle thoracic closed drainage, 40 cases of surgical incision closed drainage. Supplemented by antibiotics, cough, brake, oxygen and other symptomatic treatment. Complications: poor drainage in 8 cases, thoracic infection in 10 cases, asphyxia in 8 cases, pulmonary encephalopathy in 16 cases. Direct causes of death: respiratory failure in 52 cases, 16 cases of pulmonary encephalopathy, asphyxia in 8 cases, mediastinal emphysema