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临床资料 我院于1990年1月至1998年1月收治严重肺气肿并发自发性气胸30例,其中男26例,女4例,年龄为38～83岁,平均年龄为60.5岁,基础病变:慢性支气管炎21例,支气管哮喘3例,肺结核6例,并发肺心病14例,并发风心病2例。胸闷气短在原有症状基础上逐渐加重者19例,起病急骤者,出现胸痛,端坐呼吸,紫绀,大汗淋漓11例。出现气管移位,患侧呼吸音减低12例,占40％,无气胸的典型体征18例,占60％。治疗上,对闭合型气胸肺压缩小于30％者,行胸穿抽气减压,密切观察。
Clinical data in our hospital from January 1990 to January 1998 admitted to severe emphysema in 30 cases of spontaneous pneumothorax, including 26 males and 4 females, aged 38 to 83 years, mean age 60.5 years old, the underlying disease : 21 cases of chronic bronchitis, bronchial asthma in 3 cases, 6 cases of pulmonary tuberculosis, pulmonary heart disease in 14 cases complicated by rheumatic heart disease in 2 cases. Chest tightness and shortness of breath in the original symptoms on the basis of gradual increase in 19 cases, the incidence of sudden, chest pain, sitting breathing, cyanosis, sweating 11 cases. Tracheal displacement occurred, ipsilateral respiratory sound decreased in 12 cases, accounting for 40%, 18 cases of typical signs of pneumothorax, accounting for 60%. Treatment, closed-type pneumothorax compression less than 30%, chest wear exhaust decompression, close observation.