慢性阻塞性肺病并发自发性气胸误诊原因探讨

To compave the causes of clinical misdiagnosis of the chronic obstructive pulmonary disease with spontaneous pneumothorax

目的探讨COPD并发自发性气胸误诊原因。方法对COPD并发自发性气胸100例与40例非COPD自发性气胸临床资料进行对比分析。结果COPD并发自发性气胸以呼吸道感染为主要诱因,起病隐匿,气胸体征不明显,进展快;非COPD自发性气胸多由剧烈咳嗽及负重引起,气胸体征明显。结论COPD并发自发性气胸与基础疾病症状、体征重叠易误诊漏诊,死亡率明显高于非COPD自发性气胸。

Objective To study the causes for Clinical misdiagnosis of the chronic obstructive pulmonary disease （COPD） with spontaneous pneumothorax （SP）. Methods The clinical features of the 100 cases patients with COPD complicated by SP were analyzed comparing with 40 Non-COPD SP patients. Results Mostly, the Predisposing causes for COPD with SP were the respiratory tract infection, with the feature of insidious onset, less apparent pneumothorax sign and rapid progress; meanwhile, Rough cough and forced breath-holding were frequent causes for non-COPD SP patients, accompanied by apparent clinical signs. Conclusions The clinical featurs of SP in COPD patients are always mingled with that of underling disease, which lead to the its misdiagnosis, SP mortality is high in COPD group than that of non-COPD group.