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目的：分析自发性气胸的X线表现和胸腔硅胶管闭式引流的效果。材料与方法：收集自发性气胸72例（96例次），其中特发性38例占53％，继发性气胸34例占47％；气胸显示除立位胸片外，采用卧位及健侧侧卧位水平投照法。结果。气胸按Kircher法计算肺被压缩程度分Ⅰ°15例，Ⅱ°22例，Ⅲ°35例，气胸采用胸腔深静脉留置管（硅胶管）水封瓶闭式引流术，肺完全复张，气胸消失者1～7天81例次（84．4％）。结论；重视胸闷、气促症状，及时发现气胸，气胸采用胸腔硅胶管闭式引流术是种简便安全、创伤小、引流效果好的方法。
Objective: To analyze the X-ray findings of spontaneous pneumothorax and the effect of closed drainage of pleural silicone tube. MATERIALS AND METHODS: Seventy-two cases (96 cases) of spontaneous pneumothorax were collected, of which 38 cases were idiopathic (53%) and 34 cases were secondary pneumothorax (47 cases). Pneumothorax showed that in addition to standing chest radiograph, Lateral lying horizontal projection method. result. According to Kircher’s law, pneumothorax was classified into 15 cases of degree of compression of the lung, 22 cases of degree Ⅱ ° and 35 cases of degree Ⅲ. The pneumothorax was closed with water-sealed bottle of deep venous thoracic catheter (silicone tube) The disappeared 1 to 7 days 81 cases (84.4%). Conclusions; Emphasis on chest tightness, shortness of breath symptoms, and timely detection of pneumothorax, pneumothorax using silicone tube closed drainage is a simple and safe, less invasive, drainage effect is good.