慢性阻塞性肺疾病合并自发性气胸60例临床分析

目的:探讨慢性阻塞性肺疾病(COPD)并自发性气胸的临床特点、治疗及防范误诊对策。方法:对治疗的60例COPD并发气胸的患者进行临床分析。结果:60例COPD并自发性气胸患者临床表现多种多样,呼吸困难为突出表现占87%,首次确诊率约82%,治疗上以行胸腔闭式引流术排气为主。结论:COPD并自发性气胸是临床常见病,误诊率高,治疗上以闭式引流为主,应提高诊断水平,减少误诊。

Clinical analysis of 60 patients with COPD complicated with spontaneous pneumothorax

Objective To study clinical features、treatment and reducing misdiagnosis methods of patients with chronic obstructive pulmonary disease （COPD） complicated with spontaneous pneumothorax.Method Datas of 60 cases with COPD complicated with spontaneous pneumothorax were clinical analyzed.Results 60 cases with COPD complicated with spontaneous pneumothorax had diverse clinical manifestations,difficulty in breathing was 87% of the main manifestations,the first confirmed incidence was 82% and Closed thoracic drainage was main treament choice.Conclusion COPD complicated with spontaneous pneumothorax is clinical common disease and misdiagnosis rate is higher.Closed thoracic drainage is main treament choice.to improve the diagnosis ability of chronic obstructive pulmonary disease with spontaneous pneumothorax and to reduce the rate of misdiagnosis.