老年慢性阻塞性肺气肿并自发性气胸的临床分析

目的分析老年慢性阻塞性肺气肿并自发性气胸的临床特点，总结有效的治疗方法。方法回顾性分析86例老年慢性阻塞性肺气肿并自发性气胸患者的临床资料。结果该组患者初诊时8例误诊；78例全部痊愈，其中5例施行胸腔穿刺抽气减压而得到痊愈，3例施行胸腔闭式引流而痊愈。结论对老年慢性阻塞性肺气肿并自发性气胸患者及时诊断，参照不同的临床表现，相应采取有效、可靠的治疗方法。同时，对高龄患者，尤其要对其病情、病史作详细的了解与观察，使病死率明显下降。

Clinical Analysis of Elderly Patients with Chronic Obstructive Pulmonary Emphysema and Spontaneous Pneumothorax

Objective To analyze the clinical features of elderly patients with chronic obstructive pulmonary emphysema and spon- taneous pneumothorax, summed up the effective treatment. Methods The clinical data of 86 cases of elderly chronic obstructive pulmonary emphysema and spontaneous pneumothorax were analyzed retrospectively. Results 8 cases of misdiagnosis in this group of newly diagnosed patients.78 patients were recovered, 5 cases underwent pleural puncture suction decompression and get healed, 3cases underwent closed thoracic drainage recovered. Conclusion We should have a patient, prompt diagnosis about elderly chronic obstructive emphysema and spontaneous pneumothorax, with reference to the different clinical manifestations, and taking effective, reliable treatment methods.