肺结核病变与自发性气胸关系的探讨

目的 :分析肺结核病变与自发性气胸的关系 ,以提高诊疗水平。方法 :回顾性分析 1997年 1月至 2 0 0 2年 10月 10 4例肺结核并自发性气胸发生于同侧或对侧的机率、临床表现、治疗与预后之间的关系。结果 :自发性气胸发生于对侧的 70例 ,同侧的 34例 ,两者有显著性差异 (P <0 .0 5 )。结论 :肺结核并自发性气胸对侧多于同侧 ,发生在对侧时症状多较重 ,易形成高压性气胸 ,需积极减压治疗 ,且容易复发 ;同侧的症状较轻 ,但易形成脓气胸 ,治愈时间明显延长 ,需积极综合治疗。

Research on the Relation between the Pulmonary Tuberculosis Process and Spontaneous Pneumothorax

Objective: To analyse the relation between pulmonary tuberculosis process and spontaneous pneumothorax and to improve diagnosis and treatment level. Methods: Review and analyse 104 pulmonary tuberculosis complicated by spontaneous pneumothorax from 1997.1 to 2002.10. We have searched the ratio of the identical pneumothorax and opposite side,clinical expression,and the relation of treatment and prognosis. Results: There are 70 with opposite pneumothorax, and 34 in the identical side,It show different(P< 0.05). Conclusion: In pulmonary tuberculosis patients, opposite side concomititant spontaneous pneumothorax occurs more than the identical side.With more serious symptom,the opposite side is apt to form high pressure pneumothorax, need treatment of reducing pressure.And often occur again.With slight symptom the identical side pneumothorax is apt to form empyema.Its treatment time is longer and need active comprehensive treatment.