论文部分内容阅读
目的总结慢性阻塞性肺疾病并发自发性气胸的误诊原因,提高诊断水平。方法回顾性分析22例慢性阻塞性肺疾病并发自发性气胸误诊患者的临床资料。结果误诊为COPD急性加重12例,哮喘发作3例,急性左心衰竭3例,肺性脑病2例,心绞痛2例;治愈20例,死亡2例均为行胸腔闭式引流患者,1例死于呼吸循环衰竭,1例死于肺性脑病。结论慢性阻塞性肺疾病患者应常规行X线胸片检查,必要时应行CT检查或诊断性胸腔穿刺抽气,明确自发性气胸诊断,及时治疗。
Objective To summarize the causes of misdiagnosis of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax and to improve the diagnostic level. Methods The clinical data of 22 patients with chronic obstructive pulmonary disease complicated with idiopathic pneumothorax were retrospectively analyzed. The results were misdiagnosed as acute exacerbation of COPD in 12 cases, 3 cases of asthma attack, 3 cases of acute left heart failure, 2 cases of pulmonary encephalopathy, 2 cases of angina pectoris; 20 cases were cured, 2 cases died of closed thoracic drainage patients, 1 died In respiratory failure, 1 patient died of pulmonary encephalopathy. Conclusion Patients with chronic obstructive pulmonary disease should routinely perform X-ray examination, CT examination or diagnostic thoracentesis, if necessary, to confirm the diagnosis and treatment of spontaneous pneumothorax.