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目的:探讨慢性阻塞性肺病合并支气管扩张临床特点。方法:本次共选择50例慢性阻塞性肺病与支气管扩张合并发生的患者作研究对象,均为我院呼吸内科2012年1月至2014年1月收治,回顾临床资料,对二者关联展开分析。结果:COPD组吸烟率为83.3%(25/30),咯血率为6.7%(2/30),咳大量黄脓痰率为13.3%(4/30),固定部位湿罗音10%(3/30),无杵状指。肺功能特点为阻塞性或温合性通气障碍,多为中重度,支气管扩张部位以双上肺、肺大泡、肺气肿周围多见。支气管组吸烟率为45%(9/20),咯血率为65(13/20),咯大量黄脓痰率为70%(14/20),固定部位湿罗音55%(11/20),杵状指率为70%(14/20)。肺功能特点为阻塞性或混合性通气障碍;支气管扩张部位以左舌叶、双下肺多见。结论:COPD和慢性阻塞性肺疾病较难鉴别,可同时存在,采用高分辨率CT和辅助肺功能检查可提高诊断准确率。
Objective: To investigate the clinical features of bronchiectasis in patients with chronic obstructive pulmonary disease. Methods: A total of 50 patients with chronic obstructive pulmonary disease and bronchiectasis were selected as the research object. All of them were admitted to our department of respiratory medicine from January 2012 to January 2014, reviewed the clinical data and analyzed the relationship between the two . Results: The smoking rate was 83.3% (25/30) in COPD group, the rate of hemoptysis was 6.7% (2/30), the rate of cough yellow sputum was 13.3% (4/30) / 30), without clubbing means. Pulmonary function is obstructive or synovial ventilatory disorder, mostly moderate to severe bronchiectasis to double upper lungs, bullae, emphysema around more common. Bronchial group smoking was 45% (9/20), hemoptysis rate was 65 (13/20), a large number of yellow sputum sputum was 70% (14/20), fixed parts wet rales 55% (11/20) , Clubbing rate was 70% (14/20). Pulmonary function is obstructive or mixed ventilation disorders; bronchiectasis in the left tongue, double lower lung more common. Conclusion: COPD and chronic obstructive pulmonary disease are more difficult to distinguish and can exist simultaneously. Using high-resolution CT and auxiliary pulmonary function tests can improve the diagnostic accuracy.