慢性阻塞性肺病（COPD）发展至中、晚期，常伴有肺大泡的形成，而一旦肺大抱破裂，空气从脏层胸膜破口进人胸膜腔，就形成自发性气胸；症状险恶，如不及时正确诊断，给予恰当处理，可危及患者生命。我院1990年1月至！998年12月共收治该类患者43例，现将其诊治体会报告如下。l临 Chronic obstructive pulmonary disease (COPD) development to the late, often accompanied by the formation of bullae, and once the lungs hold the crack, the air from the visceral pleural tear into the pleural cavity, the formation of spontaneous pneumothorax; sinister symptoms, If not properly diagnosed in time, give appropriate treatment, can endanger the lives of patients. Our hospital in January 1990 to! 998 December received a total of 43 cases of such patients, now the diagnosis and treatment of his report are as follows. l Pro