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目的探讨慢性阻塞性肺气肿合并急性自发性气胸的治疗方法。方法 60例慢性阻塞性肺气肿合并急性自发性气胸患者随机分为观察组和对照组各30例,观察组给予电视胸腔镜治疗,对照组给予转外科实施传统手术治疗,比较两组患者的治愈率。结果观察组患者的术中出血量、住院天数均显著优于对照组,观察组患者的并发症发生率约为6%,显著低于对照组的23%,差异均具有统计学意义(P<0.05)。结论慢性阻塞性肺气肿合并急性自发性气胸的患者,实施电视胸腔镜治疗效果显著,可有效提高患者的生存质量,降低死亡率,值得临床推广应用。
Objective To investigate the treatment of chronic obstructive pulmonary emphysema with acute spontaneous pneumothorax. Methods Sixty patients with chronic obstructive pulmonary emphysema and acute spontaneous pneumothorax were randomly divided into observation group (30 cases) and control group (30 cases). The patients in the observation group were treated with video-assisted thoracoscopic surgery. The control group Cure rate. Results The intraoperative blood loss and hospitalization days in the observation group were significantly better than those in the control group. The complication rate in the observation group was about 6%, significantly lower than that in the control group (23%, P < 0.05). Conclusion In patients with COPD complicated with acute spontaneous pneumothorax, the implementation of video-assisted thoracoscopic treatment has a significant effect, which can effectively improve the quality of life and reduce the mortality of patients, which is worthy of clinical application.