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近10年来,慢性阻塞性肺病已取代肺结核成为自发性气胸(以上简称气胸)的最常见病因,对老年气胸患者这一点更为突出。我院1978～1985年共收治气胸92例,其中慢阻肺,肺心病并气胸50例,占54.4％。60岁以上气胸患者24例,其原发病均为慢阻肺肺心病,这些老年患者气胸发生后一般症状较重,以张力性气胸多见,病死率较高。本文将24例老年气胸患者与同期收住的26例60岁以下慢阻肺并气胸患者比较,并加以分析。
In the past 10 years, chronic obstructive pulmonary disease has replaced tuberculosis as the most common cause of spontaneous pneumothorax (referred to as pneumothorax above), which is more prominent in elderly patients with pneumothorax. A total of 92 cases of pneumothorax were treated in our hospital from 1978 to 1985, including 50 cases of chronic obstructive pulmonary disease, pulmonary heart disease and pneumothorax, accounting for 54.4%. 24 patients with pneumothorax over 60 years old, the primary disease are COPD pulmonary heart disease, these elderly patients after pneumothorax general symptoms heavier, more common in tension pneumothorax, higher mortality. In this paper, 24 cases of elderly patients with pneumothorax and admitted to the same period in 26 cases of patients with COPD and pneumoconiosis were compared and analyzed.