尘肺并发自发性气胸的临床分析

摘要

目的：分析尘肺并发自发性气胸的治疗效果。方法：2012年1月-2014年3月收治尘肺并发自发性气胸患者27例，根据病情给予患者镇静药物和镇痛药物，并根据相应症状进行对症治疗。结果：气胸治愈11例(40.7%)，好转8例(29.6%)，未愈6例(22.2%)，死亡2例(7.4%)。合并肺气肿19例(70.4%)，合并肺大泡10例(37.0%)，合并肺部感染14例(51.9%)，合并胸腔积液4例(14.8%)，合并肺结核2例(7.4%)。结论：在治疗气胸的同时要积极进行原发病的治疗，促进胸膜裂口的尽早愈合。%Objective:To analyze the clinical effect of pneumoconiosis combined with spontaneous pneumothorax.Methods:27 patients with pneumoconiosis combined with spontaneous pneumothorax were selected from January 2012 to March 2014. According to the condition,the patients were given sedative drugs and analgesic drugs.According to the corresponding symptom, they were given symptomatic treatment.Results:11 cases(40.7%) of pneumothorax were cured;8 cases(29.6%) were improved;6 cases(22.2% ) were not healed;2 cases(7.4% ) were died.19 cases(70.4% ) were combined with pulmonary emphysema;10 cases(37.0%) were combined with pneumatocele;14 cases(51.9%) were combined with pulmonary infection;4 cases(14.8%) were pleural effusion;2 cases(7.4%) were pulmonary tuberculosis.Conclusion:It should be positive for the treatment of the disease at the same time of treating pneumothorax to promote the pleura crack healing as soon as possible.