自发性气胸为临床常见病,也是呼吸科急症,一般不难诊断。但在慢性阻塞性肺部疾病(COPD)患者,由于其基础病变临床表现突出,大多情况下掩盖了气胸的症状、体征,给临床诊治带来困难。现将我院1992年以来确诊的COPD合并自发性气胸38例分析如下。1　资料与方法1.1　一般资料:本组38 Spontaneous pneumothorax is a common clinical disease, respiratory emergency is generally not difficult to diagnose. However, patients with chronic obstructive pulmonary disease (COPD), because of its clinical manifestations of prominent underlying lesions, most of the time covered the symptoms and signs of pneumothorax, clinical diagnosis and treatment difficulties. Now our hospital since 1992 confirmed COPD with spontaneous pneumothorax 38 cases analyzed as follows. 1 Materials and Methods 1.1 General Information: This group 38