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本文收集我院内科32年来收治的自发性气胸200例,现对其病因、治疗和预后等进行分析。 1 临床资料本组200例,男178例,女22例。男女之比为8.1:1。年龄15～84岁,平均年龄为48.3岁。病因:200例中原有肺脏疾病者158例(79％)。其中慢性支气管炎54例(32.2％),Ⅱ型肺结核8例(5.1％),Ⅳ型肺结核18例(11.4％),支气管哮喘4例(2.5％)。主要表现为突发性胸痛、咳嗽、气急和呼吸困难。X线表现:本组病例均作X线胸透和摄片检查。气胸发生于左侧78例(39％),右侧118例(59％),双侧14例(2％)。肺压缩程度,<30％者42例(21％),30％～50％96例(48％),>50％62例
This collection of 200 cases of spontaneous pneumothorax admitted to our hospital for 32 years, now its etiology, treatment and prognosis were analyzed. 1 Clinical data The group of 200 cases, 178 males and 22 females. The ratio of men to women is 8.1: 1. Ages 15 to 84 years old, with an average age of 48.3 years. Etiology: There were 158 cases (79%) of 200 cases of central illness with lung disease. There were 54 cases (32.2%) of chronic bronchitis, 8 cases of type II tuberculosis (5.1%), 18 cases of type IV tuberculosis (11.4%) and 4 cases of bronchial asthma (2.5%). Mainly manifested as sudden chest pain, cough, shortness of breath and difficulty breathing. X-ray performance: This group of patients were X-ray and radiography. Pneumothorax occurred in 78 cases (39%) on the left, 118 cases (59%) on the right, and 14 cases (2%) on both sides. Lung compression, <30% in 42 cases (21%), 30% to 50% in 96 cases (48%),> 50% in 62 cases