慢性阻塞性肺气肿并发气胸,病情重、并发症多、死亡率高。肺气肿继发双侧气胸,临床少见,气胸的症状和体征多被基础肺病掩盖,易延误诊断。现报告2例。 例1,女,52岁,因慢性咳嗽、咯痰15年,加重伴喘憋、呼吸困难1周入院。吸烟史35年。查体:血压14.67/10kPa,呼吸32次/分,脉搏110次/分。神 Chronic obstructive emphysema complicated with pneumothorax, severe illness, multiple complications, high mortality. Emphysema secondary to bilateral pneumothorax, clinical rare, pneumothorax symptoms and signs are mostly covered by underlying lung disease, easy to delay diagnosis. Now report 2 cases. Example 1, female, 52 years old, due to chronic cough, expectoration for 15 years, aggravated with wheezing, dyspnea 1 week hospitalization. Smoking history for 35 years. Physical examination: blood pressure 14.67 / 10kPa, breathing 32 beats / min, pulse 110 beats / min. God