论文部分内容阅读
1987年～1994年我们收治68例40岁以下的青年人自发性气胸。就其临床特点及治疗分析如下。 1 临床资料 本组68例中年龄最小19岁,最大40岁,平均27岁。男58例,女10例。病因:肺结核2例,肺脓肿、肺气肿各1例,慢性支气管炎4例,无原发疾病者60例。诱因:剧咳11例,运动18例,肺部感染6例,举重物12例,无诱因21例。临床表现:胸痛66例,呼吸困难64例,咳嗽47例,发热3例,咯血2例。 发病部位和类型:本组68例中右侧37例,左侧29例,双侧2例。闭合性气胸49例,开放性气胸12例,张力性气胸7例。 并发症:68例出现并发症者14例,其中,并发纤维素性胸膜炎6例,皮下气肿4例,纵隔气肿1例,
From 1987 to 1994, we treated 68 cases of spontaneous pneumothorax in young people under the age of 40. On its clinical features and treatment are as follows. 1 Clinical data 68 cases in this group, the youngest 19 years old, maximum 40 years old, an average of 27 years old. 58 males and 10 females. Etiology: tuberculosis in 2 cases, lung abscess, emphysema in 1 case, chronic bronchitis in 4 cases, 60 cases without primary disease. Incentives: 11 cases of cough, exercise in 18 cases, 6 cases of pulmonary infection, weight-bearing in 12 cases, no incentive in 21 cases. Clinical manifestations: chest pain in 66 cases, 64 cases of dyspnea, cough in 47 cases, fever in 3 cases, 2 cases of hemoptysis. Location and type of disease: The group of 68 cases in the right side of 37 cases, 29 cases of left, bilateral in 2 cases. Closed pneumothorax in 49 cases, open pneumothorax in 12 cases, tension pneumothorax in 7 cases. Complications: 68 cases of complications in 14 cases, of which 6 cases of complicated pleural fibrosis, subcutaneous emphysema in 4 cases, 1 case of mediastinal emphysema,