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气胸是常见病,多发病,但若是老年患者并发多房性气胸,将严重地威胁着患者的生命。现将我院近12年收治的36例老年多房高压性气胸分析如下。 1 临床资料 36例老年患者均有10年以上的COPD病史,年龄60～80岁。男性30例,女6例,冬季发病率高,其中双侧多房性高压性气胸7例,死亡4例。 诊断依据:气胸治疗时,如一侧已作胸腔闭式引流病情仍无好转,也无其它原因解释时,要考虑双侧甚至多房高压性气胸的可能。经过仔细查体,注意肺部两侧及上下体征的微小差异,谨慎地作诊断性穿刺而确定诊断。
Pneumothorax is a common disease, frequently-occurring disease, but if the elderly patients complicated by multi-ventricular pneumothorax, will seriously threaten the lives of patients. Now in our hospital nearly 12 years admitted 36 cases of elderly multi-room high pressure pneumothorax analysis is as follows. 1 Clinical data 36 elderly patients have a history of more than 10 years of COPD, aged 60 to 80 years. There were 30 males and 6 females, with a high incidence in winter, including 7 cases of bilateral multilocular hypertension pneumothorax and 4 deaths. Diagnosis is based on: pneumothorax treatment, such as the side has been closed chest drainage does not improve the condition, there is no other reason to explain, to consider the possibility of bilateral or even multiple high pressure pneumothorax. After careful examination, pay attention to the slight differences between the two sides of the lung and the upper and lower signs, be careful to make diagnostic puncture to determine the diagnosis.