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目的分析并评价慢性阻塞性肺气肿并发急性气胸患者的发病特征以及临床诊断。方法回顾性分析我院急诊科自2009年12月至2010年12月期间收治的25例慢性阻塞性肺气肿同时并发急性自发性气胸患者的临床资料。结果本组全部25例患者中,有19例被确诊为急性自发性气胸,最后好转出院16例,由于基础疾病恶化,肺功能基本丧失、呼吸衰竭、纵隔与皮下出现气肿并昏迷致死者1例。通过诊断性穿刺最终确诊的6例患者中,最终好转出院者4例;由于病情危重,抢救无效最终死亡者2例。结论慢性阻塞性肺气肿患者同时并发急性自发性气胸的临床症状较为复杂,病情十分凶险,极易发生误诊而耽误治疗,最终造成死亡,因此一定要给予高度重视,并严加防范。
Objective To analyze and evaluate the incidence and clinical diagnosis of patients with chronic obstructive pulmonary emphysema and acute pneumothorax. Methods The clinical data of 25 patients with COPD complicated with acute spontaneous pneumothorax admitted to our emergency department from December 2009 to December 2010 were retrospectively analyzed. Results Of the 25 patients in this study, 19 were diagnosed as acute spontaneous pneumothorax and finally discharged from hospital in 16 patients. Due to the worsening of underlying diseases, the basic loss of lung function, respiratory failure, emphysema in the mediastinum and subcutaneous and lethargy 1 example. Of the 6 patients eventually diagnosed by diagnostic puncture, 4 patients eventually got discharged; 2 were ultimately dead due to the critically ill condition. Conclusion The clinical symptoms of patients with chronic obstructive pulmonary emphysema complicated with acute spontaneous pneumothorax are complicated and their condition is very dangerous. They are easily misdiagnosed and delayed treatment, which eventually leads to death. Therefore, we must attach great importance to it and strictly prevent it.