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目的探讨老年人自发性气胸临床特点。方法回顾性分析2009年5月至2011年10月在我院诊治的老年气胸患者30例的临床资料。结果老年自发性气胸大多有肺部疾病基础,临床表现不典型,胸痛少,呼吸困难多,双肺查体差异不明显。结论老年人自发性气胸发病率高、原发病多、临床表现不典型,多为继发性,易误诊,应提高认识,减少误诊及漏诊。
Objective To investigate the clinical features of spontaneous pneumothorax in the elderly. Methods The clinical data of 30 elderly patients with pneumothorax who were treated in our hospital from May 2009 to October 2011 were retrospectively analyzed. Results Most of elderly spontaneous pneumothorax had the basis of pulmonary disease. The clinical manifestations were not typical, chest pain was less, dyspnea was more, and there was no obvious difference between the two groups. Conclusions The incidence of spontaneous pneumothorax in the elderly is high. There are many primary diseases and the clinical manifestations are not typical. Most of them are secondary and easily misdiagnosed. Awareness should be raised to reduce misdiagnosis and missed diagnosis.