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分析总结自本院1994年￣2004年96例自发性气胸患者的临床病因、症状、体征及治疗方法,以探讨自发性气胸的治疗方法及经验教训,并结合相关文献复习,认为:自发性气胸对于肺组织压缩小于30%者,以吸氧、休息效果好。对于肺组织压缩大于30%者,青年人以胸腔穿刺抽气效果好,老年人应首选胸腔闭式引流,并应注意误诊及延误诊治问题。对于反复复发者,考虑行胸膜腔粘连,或进一步行胸腔镜、胸腔内手术治疗。
To analyze and summarize the clinical etiology, symptoms, signs and treatment of 96 cases of spontaneous pneumothorax in our hospital from 1994 to 2004. To discuss the treatment methods and experiences and lessons of spontaneous pneumothorax and to review relevant literature, it is concluded that spontaneous pneumothorax For less than 30% of lung tissue compression to oxygen, good rest. For more than 30% of lung tissue compression, young people with thoracentesis aspiration effect, the elderly should be the preferred closed thoracic drainage, and should pay attention to misdiagnosis and delay in diagnosis and treatment. For repeated relapse, consider the pleural cavity adhesions, or further thoracoscopy, thoracic surgery.