老年慢性阻塞性肺病并发自发性气胸临床探讨

目的:探讨老年慢性阻塞性肺病(COPD)患者并发自发性气胸的特点。方法:对老年慢性阻塞性肺病并发自发性气胸52例的临床资料进行回顾性分析,并和30例中青年气胸患者对照。结果:老年组急性起病者19例,缓慢起病33例,老年组治愈43例(82.7%),死亡9例(17.3%)。结论:老年COPD并发自发性气胸起病隐匿,表现不典型,合并疾病多,病死率高,由于单纯抽气治疗效果不佳,宜尽早行胸腔闭式引流排气。

Study on spontaneous pneumothorax of senile with chronic obstructive pulmonary disease

Objective: To investigate the clinical characteristics of spontaneous pneumothorax of senile with chronic obstructive pulmonary disease.Methods: Retrospective study on the records of spontaneous pneumothorax in 52 elder patients with chronic obstructive pulmonary disease and 30 cases of young and middle-aged patients;characteristics of them were compared.Results: The acute and chronic onset of the spontaneous pneumothorax in the elder patients were 19 cases and 33 respectively;43 cases of them were cured(82.7%),9 died(17.3%).Conclusion: The onset of spontaneous pneumothorax in senile with chronic obstructive pulmonary disease is insidious;the disease is lack of typical clinical feature,with various concomitant diseases,with higher motality.Closed chest tube drainage should be performed as early as possible because of the unsatisfactory effect of simple evacuation.