自发性气胸常因支气管炎、肺大泡的破裂所致,每以闭式引流而愈合,但复发率很高。笔者应用高压灭菌后的滑石粉置入胸腔行闭式引流造成肺膨胀后使脏、壁两层胸膜粘连,从而闭锁胸膜腔治愈肺大泡破裂引起自发性气胸1例。随访8年无复发。 Spontaneous pneumothorax often due to bronchitis, bulla rupture caused by closed drainage and healing, but the recurrence rate is high. After the autoclaved talcum powder was placed into the thoracic cavity, the author performed closed drainage to cause the lungs to dilate. After the pleura and parietal pleura adhered, the pleural cavity was closed and the spontaneous pneumothorax was ruptured. One case was spontaneously pneumothorax. No follow-up of 8 years follow-up.