Nakamura H, Konishiike J, Sugamura A, Takeno Y
Chest. 1986 Mar;89(3):378-82. doi: 10.1378/chest.89.3.378.
An epidemiologic study was done on spontaneous pneumothorax in women. Six hundred sixty-four patients with spontaneous pneumothorax comprising 409 with idiopathic pneumothorax (61.6 percent), and 255 with secondary pneumothorax (38.4 percent) were studied. By age, idiopathic pneumothorax had its peak incidence in the 20s and secondary pneumothorax the 30s. Secondary pneumothorax included iatrogenic pneumothorax resulting from acupuncture treatment. The female patients were not so thin and tall as the male patients. The percentage of positive family history among the female patients was 4.42 percent in the idiopathic type and 0.45 percent in the secondary type. The percentage in the male idiopathic type of pneumothorax was 2.29 percent. Catamenial pneumothorax and pneumothorax with pulmonary hamartoangiomyomatosis are well known as specific in female subjects, but the cases are rare. Nonetheless, attention should be paid to female-specific rare types, for the etiology of idiopathic pneumothorax.
针对女性自发性气胸开展了一项流行病学研究。对664例自发性气胸患者进行了研究，其中409例为特发性气胸（61.6%），255例为继发性气胸（38.4%）。按年龄划分，特发性气胸的发病高峰在20多岁，继发性气胸在30多岁。继发性气胸包括针刺治疗引起的医源性气胸。女性患者不如男性患者瘦高。女性特发性气胸患者中有家族史阳性的比例为4.42%，继发性气胸为0.45%。男性特发性气胸患者中有家族史阳性的比例为2.29%。月经性气胸和肺错构瘤样血管肌瘤病伴发的气胸在女性中较为特殊，但病例罕见。尽管如此，对于特发性气胸的病因，仍应关注女性特有的罕见类型。
