老年性COPD并自发性气胸76例分析

Analysis of 76 cases with chronic obstructive pulmonary disease and spontaneous pneumothorax in elderly patients

目的探讨老年慢性阻塞性肺病并发自发性气胸的临床特点。方法对1998～2005年我院收治的老年慢性阻塞性肺病并发自发性气胸76例的临床资料进行回顾性分析。结果治愈65例(85.5%),死亡7例(9.2%)。结论老年慢性阻塞性肺病并发自发性气胸起病隐匿,易误诊。病情发展快速,常威胁病人生命,能及时诊断和治疗,可降低死亡率。

Objective To study the clinic features of the chronic obstructive pulmonary disease and sponta- neous pneumothorax in the elderly and to improve the diagnose and treatment. Methods Clinical data of 76 elderly patients with the chronic obstructive pulmonary disease and spontaneous pneumothorax between 1998 and 2005 treated in our hospital were analyzed retrospectively. Results In this series, 67 cases （88.2%） were cured, 7 cases（9.2%） were dead. Conclusions It is difficult to diagnose the disease at the onset. The disease develops quickly and is thus dangerous. We must diagnose and treat it timely so as to reduce the mortality.