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目的探讨分析80例慢性阻塞性肺病(co Pd)并发气胸的临床诊治情况。方法回顾分析2010年1月—2014年10月我院呼吸内科收治的80例慢性阻塞性肺疾病并发气胸患者的临床资料。其中,42例行胸膜腔穿刺抽气减压,22例行胸腔闭式引流,16例肺压缩面积<20%的闭合型气胸患者采用绝对卧床休息及吸氧后肺复张。结果所有患者在吸氧、抗感染、祛痰、支气管解痉的基础上,根据气胸类型分别予以胸腔穿刺抽气或胸腔闭式引流排气,均治愈出院。结论慢性阻塞性肺疾病并发自发性气胸患者年龄大,体质差,病情重,变化快,漏、误诊率高,易被原发病掩盖,尽快行X线等检查,避免漏、误诊,以综合治疗为主,加强吸氧、抗炎、解痉平喘、营养支持等辅助治疗,提高治愈率,降低死亡率。
Objective To investigate the clinical diagnosis and treatment of 80 patients with chronic obstructive pulmonary disease (co-Pd) complicated with pneumothorax. Methods The clinical data of 80 patients with chronic obstructive pulmonary disease complicated with pneumothorax admitted from January 2010 to October 2014 in our department of respiratory medicine were retrospectively analyzed. Among them, 42 patients underwent pleural cavity puncture and aspiration decompression, 22 underwent closed thoracic drainage, and 16 patients with closed pneumothorax with pulmonary compression area <20% underwent absolute bed rest and post-oxygen pulmonary reexpansion. Results All patients were treated with thoracentesis or thoracic drainage, and were discharged on the basis of oxygen inhalation, anti-infective, expectorant and bronchial spasm. Conclusion The patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax are old, poor health, severe illness, rapid change, leakage, high misdiagnosis rate, easily covered by the primary disease, X-ray examination as soon as possible to avoid leakage and misdiagnosis to synthesize The main treatment, to strengthen oxygen, anti-inflammatory, antispasmodic asthma, nutritional support and other adjuvant therapy to improve the cure rate and reduce mortality.