肺结核并发自发性气胸的临床治疗体会

摘要

目的：探讨肺结核并发自发性气胸的临床治疗体会。方法选取2011年1月～2013年12月收治的肺结核并发自性气胸患者20例临床治疗资料进行分析。结果患者经抽气或引流后肺复张，所有患结者均治愈，其复张时间为3～22 d。结论对疑诊和已确诊为自发性气胸的患者均须用人工气胸箱进行测压。不宜搬动的严重呼吸困难的患者，可作胸腔试验性穿刺，测得胸腔内压力为正压时，即可作出诊断。常采用胸腔内注药的方法来保守治疗，其效果较好。%Objective The clinical treatment experience of pulmonary tuberculosis complicated with spontaneous pneumothorax is to be discussed. Methods Analyze the clinical treatment data selected from 20 patients with pulmonary tuberculosis complicated with spontaneous pneumothoraxes that are treated in hospital from January 2011 to December 2013. Results Patients have their lungs recruited by suction and drainage and they are cured,the recruitment time is from 3 to 22 d. Conclusion The patients who are suspected or diagnosed as pulmonary tuberculosis complicated with spontaneous pneumothorax are suggested to use artificial pneumothorax box to measure the pressure.And the patients with severe breathing difficulty who should not be removed are suggested to take pleural puncture test and they are able to be diagnosed once intrathoracic pressure is tested as positive.The conventional treatment of intrathoracic injection is quite effective to cure the illness.