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我院诊治自发性气胸35例,其中男28例,女7例;年龄15～72岁,<40岁者24例。发病原因:肺结核17例,慢支9例,肺囊肿9例。发病部位:右侧28例,左侧6例,双侧1例。以左侧及双侧发病者症状较重,容易发生休克,这可能是气胸使心脏及大血管受压,产生移位之故。本病临床特征以胸痛、咳嗽、憋气及呼吸困难为主,X线示明显气胸线,在气胸线以外的胸腔内不见肺纹理,重者可使纵隔移向健侧。
Our hospital diagnosed 35 cases of spontaneous pneumothorax, including 28 males and 7 females; aged 15 to 72 years old, <40 years old in 24 cases. Pathogenesis: Tuberculosis in 17 cases, 9 cases of chronic bronchitis, cyst in 9 cases. The incidence of parts: right in 28 cases, left in 6 cases, bilateral in 1 case. To the left and bilateral onset of severe symptoms, prone to shock, which may be the heart and the pneumothorax to the pressure of the large blood vessels, resulting in displacement of it. The clinical features of this disease to chest pain, cough, suffocation and dyspnea, X-ray showed significant pneumothorax, chest outside the pneumothorax line no lung texture, weight can shift to the contralateral mediastinal side.