CAJ | 학술논문

目的分析不同年龄组患者自发性气胸的临床特点,提高自发性气胸的诊治水平.方法对不同年龄组(老年组:年龄≥60岁,青年组:年龄≤40岁)自发性气胸的病因、诱因、临床表现、气胸类型和治疗方法进行对比分析.结果老年组继发性气胸明显高于青年组(P＜0.01).两组气胸发病的诱因无显著差异(P＞0.05).胸痛发生率青年组明显高于老年组(P＜0.01),呼吸困难、咳嗽和咳痰发生率老年组明显高于青年组(P＜0.01).两组气胸类型无显著性差异(P＞0.05).需给予胸腔闭式引流术治疗的比率老年组明显高于青年组(P＜0.01).结论老年人继发性气胸多见,呼吸困难、咳嗽、咳痰明显,需要胸腔闭式引流术治疗的比率较高.青年人气胸胸痛多见,胸腔穿刺抽气常可取得良好疗效.
목적 분석불동년령조환자자발성기흉적림상특점,제고자발성기흉적진치수평.방법 대불동년령조(노년조:년령≥60세,청년조:년령≤40세)자발성기흉적병인、유인、림상표현、기흉류형화치료방법 진행대비분석.결과 노년조계발성기흉명현고우청년조(P＜0.01).량조기흉발병적유인무현저차이(P＞0.05).흉통발생솔청년조명현고우노년조(P＜0.01),호흡곤난、해수화해담발생솔노년조명현고우청년조(P＜0.01).량조기흉류형무현저성차이(P＞0.05).수급여흉강폐식인류술치료적비솔노년조명현고우청년조(P＜0.01).결론 노년인계발성기흉다견,호흡곤난、해수、해담명현,수요흉강폐식인류술치료적비솔교고.청년인기흉흉통다견,흉강천자추기상가취득량호료효.
Aim To enhance the diagnosis and treatment of the spontaneous pneumothorax by analysing the clinical features of the spontaneous pneumothorax among various age groups. Methods The cause, inducement, clinical manifestation,type of pneumothorax and treatment among various age groups (the senile group: age≥60 years old, the youth group: age≤40 years old)were contrasted. Results The ratio of secondary pneumothorax in the senile group was much higher than that in the youth group (P＜0.01). There wasn't a significant difference in the ratio of inducement between the senile group and the youth group (P＞0.05). The incidence of chest pain in the youth group was much higher than that in the senile group(P＜0.01).The incidence of respiratory difficulty, cough and coughing sputum was much higher in the senile group than in the youth group (P＜0.01). There wasn't a significant difference in the type of pneumothorax between the senile group and the youth group (P＞0.05). The thoracic close drainage in the senile group was more than that in the youth group(P＜0.01). Conclusion The senile are more likely to have secondary pneumothorax. They usually have respiratory difficulty,cough and coughing sputum.There is a higher ratio of the senile who need to be treated by thoracic close drainage.The youth are more likely to have chest pain and thoracic puncture usually results in good recovery.