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目的:探讨慢性阻塞性肺疾病(COPD)并发自发性气胸的特点及治疗方法。方法:对2004年至2007年我科收治的继发于COPD的自发性气胸47例临床资料进行分析对照。结果:治愈41例(87.23%),死亡2例(4.26%)。结论:慢性阻塞性肺疾病(COPD)并发自发性气胸起病隐匿,进展快,常常会导致严重的心肺功能衰竭、危及生命,应尽早诊断、及时治疗,从而降低死亡率。
Objective: To investigate the characteristics and treatment of chronic obstructive pulmonary disease (COPD) complicated with spontaneous pneumothorax. Methods: The clinical data of 47 cases of spontaneous pneumothorax secondary to COPD from 2004 to 2007 in our department were analyzed and compared. Results: 41 cases (87.23%) were cured and 2 died (4.26%). Conclusion: COPD complicated with spontaneous pneumothorax results in occult onset and rapid progression. It often leads to severe cardiopulmonary failure and life-threatening. It should be diagnosed and treated as soon as possible to reduce the mortality rate.