摘要目的 探讨老年人自发性气胸发病特点及电视胸腔镜手术的临床价值.方法 老年自发性气胸患者32例行VATS治疗,均采用胸腔镜辅助小切口技术.结果 该组患者手术顺利,肺复张满意,均治愈出院,无手术死亡.术后有2例持续漏气时间长,出现复张性肺水肿、心律失常、肺部感染7例.结论 胸腔镜手术治疗老年人自发性气胸创伤小、恢复快,手术风险低,疗效满意.

abstractsObjective To investigated the clinical value at pathogenetie features of spontaneous hemopneu-mothorax in aged people and therapeutic investigation of VATS.Methods 32 aged patients with spontaneous hemo-pneumothorax who underwent VATS.all used small chest wound asssociated with video-assisted thoraeoscopy.Results All procedures were carried OUt salty,recruitments were satisfactary,there were no operative death,all patients cured and had no sepuetae.There were 2 cases had gas leak last for a long time after operation,there Were 7 eBses had reexpansion pulmonary edema,arrhythmias,pulmonary infection.Conclusion VATS is a safe and effeetlve technique with smaller wound and shorter hospital stay for the treatments of spontaneous hemopneumothorax in aged people.