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对６２例６０岁以上老年人自发性气胸与同期５８例３０岁以下自发性气胸的对比分析显示，气胸类型两组均以闭合性气胸居多；老年组发病危急，并发症、合并症多，易误诊误治；因各种原因未能进行Ｘ线检查者，老年组３２例，占５１．６％，显著高于对照组（仅３例，占５．２％）；这一部分病人的临床诊断主要依赖体格检查，其判断标准应为：①凡锁骨中带叩过反响阳性伴气管移位者，即可认定诊断；②锁骨中带叩过反响阳性不伴气管移位，能除外心源性疾患者，则可拟定诊断。治疗上低正负压交替引流的疗效明显优于水封瓶引流。建议凡需抽气引流减压的病例，均应用低正负压交替引流。
The comparative analysis of 62 cases of spontaneous pneumothorax over the age of 60 years and 58 cases of spontaneous pneumothorax below the age of 30 years showed that the pneumothorax type were mostly closed pneumothorax; the elderly group of critical illness, complications, complications, easy Misdiagnosis and mistreatment; for various reasons failed to X-ray examination, the elderly group of 32 cases, accounting for 51.6%, significantly higher than the control group (only 3 cases, accounting for 5.2%); this part of the patient’s clinical diagnosis Mainly rely on physical examination, the criteria should be judged: ① Where the percussion with knock-positive reaction with tracheal displacement who can identify the diagnosis; ② clavicle with knock-positive reaction without tracheal displacement, can be excluded cardiac Diseases, you can draw up a diagnosis. The treatment of low positive and negative pressure alternating drainage significantly better than the water seal bottle drainage. Proposed to decompression of patients need suction drainage, are applied low positive and negative pressure alternating drainage.