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目的:探讨慢性阻塞性肺疾病(COPD)并发自发性气胸的临床诊治体会。方法:对2008年7月以来我院收治的50例COPD并发自发性气胸患者的临床资料进行回顾性分析。结果:50例患者中,20例通过内科保守治疗痊愈,20例经反复胸腔穿刺抽气后痊愈,10例经反复胸腔穿刺抽气效差,后改胸腔闭式引流后痊愈。结论:慢性阻塞性肺疾病并发自发性气胸患者的临床症状不典型,容易漏诊,接诊时一定要仔细检查,及时做好胸部影像学检查,积极治疗,以降低死亡率。
Objective: To investigate the clinical diagnosis and treatment of chronic obstructive pulmonary disease (COPD) complicated with spontaneous pneumothorax. Methods: The clinical data of 50 patients with spontaneous pneumothorax admitted to our hospital from July 2008 were retrospectively analyzed. Results: Of the 50 patients, 20 cases were cured by conservative treatment, 20 cases were cured by repeated thoracentesis, while 10 cases were poorly evacuated by repeated thoracentesis. After thoracic drainage, they were cured. Conclusion: The clinical symptoms of patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax are not typical and easily missed. Admissions must be carefully examined, chest imaging examination should be conducted in time, and aggressive treatment should be carried out to reduce the mortality rate.