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目的:对慢性阻塞性肺疾病并发自发性气胸患者的临床特点进行探讨。方法:选取我院2013年4月到2014年4月所收治的慢性阻塞性肺疾病并发自发性气胸患者38例作为研究对象,并对其临床资料进行回顾性分析,以了解该疾病的临床特点。结果:有33例康复出院,5例死亡,其中4例患者是由于双侧高度气胸合并纵隔气肿,进而引发心肺功能衰竭,最终死亡,1例患者是由于重度肺部感染而最终导致死亡。结论:慢性阻塞性肺疾病并发自发性气胸其发病原因较为复杂,且临床体征极易被忽视,所以极易出现误诊、漏诊的情况;对慢性阻塞性肺疾病并发自发性气胸患者及时采取有效的治疗措施,如胸腔闭式引流、胸穿抽气等,是极为关键的。
Objective: To investigate the clinical features of patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax. Methods: Thirty-eight patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax admitted from April 2013 to April 2014 in our hospital were selected as the study subjects, and their clinical data were retrospectively analyzed to understand the clinical features of the disease . RESULTS: Thirty-three patients were discharged from hospital and 5 died. Four patients died of cardiopulmonary failure due to bilateral pneumothorax complicated by mediastinal emphysema and eventually died. One patient died of severe pulmonary infection. Conclusions: The causes of COPD complicated with spontaneous pneumothorax are complicated and the clinical signs are easily overlooked. Therefore, it is very easy to misdiagnosis and missed diagnosis. The patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax should be treated promptly and effectively Treatment measures, such as closed thoracic drainage, chest wear exhaust, etc., is extremely crucial.