Investigation on therapy and its opportunity for senile spontaneous pneumothorax / 中华老年医学杂志

ABSTRACT

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.