CAJ | 학술논문

目的探讨尘肺并发自发性气胸的临床特点和治疗方法.方法对55例尘肺并发自发性气胸病例的临床资料进行分析.结果左侧气胸19例,右侧气胸25例,双侧气胸11例；肺压缩程度≤20％ 17例,20％～50％ 29例,＞50％9例；17例保守治疗,7例采取胸腔穿刺抽气,34例采取胸腔闭式引流,其中10例予以胸腔内注入凝血酶+氨甲苯酸.治愈41例,好转10例,3例转外院行封堵术及胸膜粘连术治疗,1例因张力性气胸死亡.结论尘肺并发气胸临床症状不典型,容易复发,经积极治疗后愈合良好.
목적 탐토진폐병발자발성기흉적림상특점화치료방법.방법 대55례진폐병발자발성기흉병례적림상자료진행분석.결과 좌측기흉19례,우측기흉25례,쌍측기흉11례；폐압축정도≤20％ 17례,20％～50％ 29례,＞50％9례；17례보수치료,7례채취흉강천자추기,34례채취흉강폐식인류,기중10례여이흉강내주입응혈매+안갑분산.치유41례,호전10례,3례전외원행봉도술급흉막점련술치료,1례인장력성기흉사망.결론 진폐병발기흉림상증상불전형,용역복발,경적겁치료후유합량호.
Objective To study the clinical characteristics and treatment method of pneumonoconiosis with spontaneous pneumothorax.Methods The clinical data of 55 cases with spontaneous pneumothorax were analyzed.Results Among these 55 cases,there were 19 cases with left side pneumothorax,25 cases with right side pneumothorax and 11 cases with bilateral pneumothorax.The lungs of 17 cases were compressed to less than 20％,the lungs of 29 cases were compressed to 20％～50％ and the lungs of 9 cases were compressed to more than 50％,17 cases were treated conservatively,7 cases were treated by thoracentesis,andr 32 cases were treated by closed thoracic drainage,including 10 cases intrapleural injected with thrombin and PAMBA.After the treatment,41 cases were cured,10 cases were improved,3 cases were transferred to other hospital for plugging or pleurodesis and 1 case died of the respiratory failure.Conclusion The clinical symptoms of cases with pneumonoconiosis and spontaneous pneumothorax are atypical.These cases easily recur.After treatment,the healing of these cases is better.