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目的探讨慢性阻塞性肺气肿合并自发性气胸的临床特点及治疗方法。方法对87例慢性阻塞性肺气肿合并自发性气胸患者的资料进行回顾性分析。结果23例病情较轻患者治疗10~20 d好转出院;56例胸闷较重或极重患者死亡4例,转入外科治疗3例,其余全部治愈。结论慢性阻塞性肺气肿合并自发性气胸临床表现复杂,应综合诊断和治疗,降低死亡率。
Objective To investigate the clinical features and treatment of chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax. Methods The data of 87 patients with chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax were retrospectively analyzed. Results Twenty-three patients with mild condition were treated 10 to 20 days later. The 56 patients with severe chest tightness or severe death were killed in 4 cases. Surgical treatment was performed in 3 cases and the rest were cured. Conclusions Chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax complicated clinical manifestations should be comprehensive diagnosis and treatment to reduce mortality.