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目的探讨电视胸腔镜治疗不同年龄段自发性气胸所致常见并发症的临床特点。方法回顾分析经电视胸腔镜治疗的31例老年自发性气胸及53例青壮年自发性气胸的临床资料;统计术后常见并发症的发生率。结果老年组有15例出现并发症(48.4%),其中持续性肺漏气7例(22.6%)、气胸复发4例(12.9%)、转行开胸手术1例(3.2%)、术后出血及胸腔积液1例(3.2%)、术后肺部感染或肺不张2例(6.5%)。青状年组有6例出现并发症(11.3%),其中持续性肺漏气3例(5.7%)、复张性肺水肿1例(1.9%)、气胸复发2例(3.8%)。结论虽然老年自发性气胸患者的术后并发症发生率较高,但是,只要围术期处理恰当,可以减少并发症发生率,胸腔镜手术对不同年龄段的自发性气胸患者都是安全、有效的。
Objective To investigate the clinical features of video-assisted thoracoscopy in the treatment of common complications caused by spontaneous pneumothorax at different ages. Methods The clinical data of 31 cases of senile spontaneous pneumothorax and 53 cases of young and middle-aged spontaneous pneumothorax were retrospectively analyzed. The incidence of common postoperative complications was analyzed. Results Complications (48.4%) were observed in 15 cases in the elderly group, including persistent pulmonary air leak in 7 cases (22.6%), pneumothorax recurrence in 4 cases (12.9%), open thoracotomy in 1 case (3.2%), postoperative bleeding And pleural effusion in 1 case (3.2%), postoperative pulmonary infection or atelectasis in 2 cases (6.5%). There were 6 complications (11.3%) in the youth group, including 3 cases of persistent pulmonary gas leak (5.7%), 1 case of recurrent pulmonary edema (1.9%) and 2 cases of recurrent pneumothorax (3.8%). Conclusions Although the incidence of postoperative complications in elderly patients with spontaneous pneumothorax is high, as long as the appropriate perioperative management can reduce the incidence of complications, thoracoscopic surgery in patients of different ages spontaneous pneumothorax are safe and effective of.