COPD合并自发性气胸12例临床误诊分析

Clinical analysis of misdiagnosis in 12 patients with chronic obstructive pulmonary disease with spontaneous pneumothorax

目的提高基层医院医护人员对COPD并发自发性气胸的诊断水平,以减少误诊率。方法回顾性总结我院2000年1月～2007年1月COPD并发自发性气胸病例,并分析误诊的原因。结果本组误诊12例,误诊为COPD急性发作、哮喘急性发作、肺性脑病、急性左心衰等。误诊时间4～48h。结论对出现病情变化的COPD患者应认真进行体检,常规行胸部X线检查。从而降低COPD并发自发性气胸的误诊、漏诊率。

Objective To improve the diagnosis ability of chronic obstructive pulmonary disease with spontaneous pneumothorax and to reduce the rate of misdiagnosis. Methods We make a retrospective summary of clinical data about COPD patients and analysis the causes of misdiagnosis in our hospital from January 2000 to January 2007. Results There are 6 cases misdiagnosed as acute episode of COPD, 4 cases as acute episode of asthma, 1 case as pulmonary encephalopathy and 1 case as acute left heart failure. The length of time of misdiagnosis is from 4 hours to 48 hours. Conclusion It is important to check the body of a patient with COPD carefully when the state of illness has changed, and the chest X - ray photographs can reduce the rate of misdiagnosis of COPD with spontaneous pneumothorax.