中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2015年
8期
887-888
,共2页
气胸%引流术%胸腔镜
氣胸%引流術%胸腔鏡
기흉%인류술%흉강경
Pneumothorax%Drainage%Thoracoscopes
目的 探讨老年人自发性气胸临床治疗方法和时机. 方法 收集我院124例老年人自发性气胸的相关资料与临床结局,总结老年人自发性气胸临床治疗的方法以及手术时机. 结果 124例老年人自发性气胸患者中,1.6％(2例)给予吸氧和药物保守治疗;33.9％(42例)患者行胸腔闭式引流术后肺膨胀程度良好,复查胸CT时未发现明显气胸症状;64.5％(80例)患者行胸腔镜手术后手术效果良好,随访期为6个月,术后复发1.6％(2例),再次住院经保守治疗后好转. 结论 胸腔闭式引流治疗老年人自发性气胸疗效较好,但易复发,而胸腔镜手术临床疗效确切,且不易复发.临床治疗时应准确把握手术时机,以免造成病情延误.
目的 探討老年人自髮性氣胸臨床治療方法和時機. 方法 收集我院124例老年人自髮性氣胸的相關資料與臨床結跼,總結老年人自髮性氣胸臨床治療的方法以及手術時機. 結果 124例老年人自髮性氣胸患者中,1.6％(2例)給予吸氧和藥物保守治療;33.9％(42例)患者行胸腔閉式引流術後肺膨脹程度良好,複查胸CT時未髮現明顯氣胸癥狀;64.5％(80例)患者行胸腔鏡手術後手術效果良好,隨訪期為6箇月,術後複髮1.6％(2例),再次住院經保守治療後好轉. 結論 胸腔閉式引流治療老年人自髮性氣胸療效較好,但易複髮,而胸腔鏡手術臨床療效確切,且不易複髮.臨床治療時應準確把握手術時機,以免造成病情延誤.
목적 탐토노년인자발성기흉림상치료방법화시궤. 방법 수집아원124례노년인자발성기흉적상관자료여림상결국,총결노년인자발성기흉림상치료적방법이급수술시궤. 결과 124례노년인자발성기흉환자중,1.6％(2례)급여흡양화약물보수치료;33.9％(42례)환자행흉강폐식인류술후폐팽창정도량호,복사흉CT시미발현명현기흉증상;64.5％(80례)환자행흉강경수술후수술효과량호,수방기위6개월,술후복발1.6％(2례),재차주원경보수치료후호전. 결론 흉강폐식인류치료노년인자발성기흉료효교호,단역복발,이흉강경수술림상료효학절,차불역복발.림상치료시응준학파악수술시궤,이면조성병정연오.
Objective To investigate the therapy and treatment opportunities for spontaneous pneumothorax in the older adults.Methods Clinical data and therapy outcomes of 124 elderly patients with spontaneous pneumothorax were collected in our hospital.The treatment methods and operation opportunity were summarized.Results Among 124 elderly patients,2 cases (1.6％) were treated with oxygen and medicine conservative treatment.42 cases (33.9 ％) had good degree of postoperative atelectasis after closed drainage of pleural cavity,and no obvious symptoms of pneumothorax were found by thoracic CT.80 cases (64.5％) obtained well recovery after thoracoscope surgery,2 cases (1.6％) had recurrence during the 6-month follow-up and recovered after conservative treatment in hospital.Conclusions The closed drainage of thoracic cavity has a good curative effect on senile spontaneous pneumothorax,but it is easy to relapse.Thoracoscope surgery has definite clinical curative effect with less recurrence.The operation opportunities should be considered accurately in order to avoid the treatment delay.
