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自发性气胸为肺科急症之一,来势往往凶急,尤以双侧张力性气胸更为凶险,常由于双侧肺严重萎陷导致急性呼吸衰竭而死亡。双侧自发性气胸(下称双侧气胸)临床少见,我科自1980～1987年共收治双侧气胸12例,占同期自发性气胸261例的4.6%。本文分析12例双侧气胸的临床资料,并结合文献对其病因、发病机制、临床特点及治疗等问题加以讨论。
Spontaneous pneumothorax is one of the imperative pulmonary diseases, the trend is often unsustainable, especially bilateral tension pneumothorax more dangerous, often due to severe collapse of both lungs leading to acute respiratory failure and death. Bilateral spontaneous pneumothorax (hereinafter referred to as bilateral pneumothorax) clinical rare, our department from 1980 to 1987 were treated with bilateral pneumothorax in 12 cases, accounting for the same period of spontaneous pneumothorax in 261 cases of 4.6%. This article analyzes the clinical data of 12 cases of bilateral pneumothorax, and combined with the literature on its etiology, pathogenesis, clinical features and treatment are discussed.