CAJ | 학술논문

目的通过对比分析两种不同年龄组患者气胸的临床特点,提高对老年人气胸的认识.方法对≥60岁老年人气胸58例(老年组)和≤40岁青年人气胸121例(青年组)的病因、诱因、临床表现、气胸类型、治疗方法、并发症、误诊率、病死率进行对比分析.结果病因构成:老年组继发性气胸占100%,高于青年组29.8%,P＜0.01.诱因:老年组有诱因者(19.0%)低于青年组(42.1%),P＜0.01.临床表现:胸痛症状老年组(41.4%)低于青年组(72.7%)(P＜0.01).气急症状老年组(91.4%)高于青年组(20.7%)(P＜0.01).咳嗽症状老年组(96.6%)与青年组(81.8%)相比差异无统计学意义(P＞0.01).但老年组的咳嗽同时有咯痰,而青年组的咳嗽症状则以刺激性干咳为主.气胸类型与治疗:老年组张力型气胸(21例)高于青年组(0例)(P＜0.01).老年组需给予胸腔闭式引流术治疗的病例(81.0%)高于青年组(43.0%)(P＜0.01).并发症:老年组(44.8%)高于青年组(9.1%)(P＜0.01).误诊率:老年组(25.9%)高于青年组(2.5%),P＜0.01.病死率:老年组(6例)高于青年组(0例),P＜0.01.结论老年人气胸具有原发病多为慢性阻塞性肺疾病、胸痛症状较少、呼吸困难明显、并发症多、易误诊、病死率较高的临床特点.
목적 통과대비분석량충불동년령조환자기흉적림상특점,제고대노년인기흉적인식.방법 대≥60세노년인기흉58례(노년조)화≤40세청년인기흉121례(청년조)적병인、유인、림상표현、기흉류형、치료방법、병발증、오진솔、병사솔진행대비분석.결과 병인구성:노년조계발성기흉점100%,고우청년조29.8%,P＜0.01.유인:노년조유유인자(19.0%)저우청년조(42.1%),P＜0.01.림상표현:흉통증상노년조(41.4%)저우청년조(72.7%)(P＜0.01).기급증상노년조(91.4%)고우청년조(20.7%)(P＜0.01).해수증상노년조(96.6%)여청년조(81.8%)상비차이무통계학의의(P＞0.01).단노년조적해수동시유각담,이청년조적해수증상칙이자격성간해위주.기흉류형여치료:노년조장력형기흉(21례)고우청년조(0례)(P＜0.01).노년조수급여흉강폐식인류술치료적병례(81.0%)고우청년조(43.0%)(P＜0.01).병발증:노년조(44.8%)고우청년조(9.1%)(P＜0.01).오진솔:노년조(25.9%)고우청년조(2.5%),P＜0.01.병사솔:노년조(6례)고우청년조(0례),P＜0.01.결론 노년인기흉구유원발병다위만성조새성폐질병、흉통증상교소、호흡곤난명현、병발증다、역오진、병사솔교고적림상특점.
Objective To enhance recognition of pneumothorax of the senile by contrasting the clinical features of pneumothorax between the senile and the youth.Methods Contrasting the cause,inducement,clinical manifestation,type of pueumothorax,treatment method,complication,misdiagnosis rate and mortality of pneumothorax between the senile group(age≥60 years old,n=58)and the youth group(age≤40 years old,n=121).Results The ratio of secondary pneumothrax in the senile group was higher than that in the youth group(100%vs 29.8%,P＜0.01).Patients in the senile group had a significantly low ratio of inducement compared to those in the youth group(19.0%vs 42.1%,P＜0.01).The clinical manifestation:the incidence of chest pain and tachypnea,cough in the senile group and youth group were 41.4%vs 72.7%(P＜0.01)and 91.4%vs 20.7%(P＜0.01),96.6%vs 81.8%(P＞0.01),respectively.The tension pneumothorax in the senile group was more than that in youth group(21 vs 0)(P＜0.01).The thoracic close drainage in the senile group was more than that in youth group(81.0%vs 43.0%)(P＜0.01).The complication,misdiagnosis rate and mortality of the pneumothorax in the senile group were higher than those in the youth group(44.8%vs 9.1%,P＜0.01;25.9%vs 2.5%,P＜0.01 and 6 vs 0,P＜0.01).Conclusions As for pneumothorax in the senile,of which primary affection is COPD,the clinical manifestation features are less chest pain,more tachypnea and complication,higher misdiagnosis rate and mortality.