| 33例老年COPD合并气胸患者临床分析 |
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| 引用本文： | 王炜,李鸿雁,孙海清,胡永霞,沈国玉. 33例老年COPD合并气胸患者临床分析[J]. 西部医学, 2011, 23(9): 1705-1706. DOI: 10.3969/j.issn.1672-3511.2011.09.032 |
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| 作者姓名： | 王炜 李鸿雁 孙海清 胡永霞 沈国玉 |
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| 作者单位： | 成都军区总医院老干科,四川成都,610081 |
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| 摘 要： | 目的探讨老年慢性阻塞性肺疾病（COPD）并发气胸的临床特点及其治疗方法。方法对33例老年慢性阻塞性肺疾病并发气胸患者的临床资料进行回顾性分析。结果经休息、吸氧治愈10例,胸腔穿刺抽气治愈6例,胸腔闭式引流术治愈9例,8例因广泛皮下气肿、纵隔气肿、严重感染或呼吸衰竭而死亡。结论老年COPD并发气胸的临床表现多不典型,易误诊且病情凶险,常会导致严重的心肺功能衰竭,可危及生命,需尽早诊断和治疗。
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| 关 键 词： | 慢性阻塞性肺疾病 老年 气胸治疗 |
Clinical analysis of elderly patients with chronic obstructive pulmonary disease and complication of spontaneous pneumothorax |
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| WANG Wei,LI Hong-yan,SUN Hai-qing,et al. Clinical analysis of elderly patients with chronic obstructive pulmonary disease and complication of spontaneous pneumothorax[J]. , 2011, 23(9): 1705-1706. DOI: 10.3969/j.issn.1672-3511.2011.09.032 |
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| Authors: | WANG Wei LI Hong-yan SUN Hai-qing et al |
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| Affiliation: | WANG Wei,LI Hong-yan,SUN Hai-qing,et al (Department of Geriatrics,General Hospital of Chengdu Military,Chengdu 610083) |
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| Abstract: | Objective To explore the clinic character of chronic obstructive pulmonary disease(COPD) complicated with spontaneous pneumothorax.Methods Clinical data of 33 cases with COPD and spontaneous pneumothorax were analyzed.There were 8 cases with pumping decompression by pleural puncture,15 cases with closed thoracic drainage,and 10 cases with closed pneumothorax.Results 25 cases were cured and 8 cases deadied.Conclusion With various cause,atypical clinic symptoms,the physical signs of COPD patients are easy to ... |
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| Keywords: | Chronic obstructive pulmonary disease Elderly Spontaneous pneumothorax |
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