老年COPD患者并发自发性气胸89例临床分析

Analysis of 89 cases with chronic obstructive pulmonary disease and spontaneous pneumothorax in elderly patients

目的探讨老年慢性阻塞性肺疾病(COPD)并发自发性气胸的特点及诊疗方法。方法对2000年至2004年我科收治的继发于老年COPD的自发性气胸89例临床资料进行分析对照。结果治愈80例(89.9%),死亡4例(4.5%)。结论老年慢性阻塞性肺疾病(COPD)并发自发性气胸起病隐匿,病情进展快,常常会导致严重的心肺功能衰竭,危及生命,尽早的诊断和及时的治疗,可以大大降低死亡率。

Objective To study the clinic features, the diagnosis and the treatment of the chronic obstructive pulmonary disease and spontaneous pneumothorax in elderly patients. Methods Clinical data of 52 elderly patients with the chronic obstructive pulmonary disease and spontaneous pneumothorax between 9000 and 2004 treated in our hospital were analyzed retrospectively. Results In this series. 80 cases （89.89%） were cured and 4 cases （10.11%） died. Conclusion It is very difficult to diagnose the disease at the onset. The disease develops quickly and is thus very dangerous. We must diagnose and treat it timely so as to decrease the mortality.