老年慢性阻塞性肺气肿并发自发性气胸35例临床分析

Clinical Analysis of 35 Senile Patients with Chronic Obstructive Pulmonary Emphysema and Spontaneous Pneumothorax

目的探讨老年慢性阻塞性肺气肿并发自发性气胸的特点。方法对2001～2007年我院收治的老年慢性阻塞性肺气肿并发自发性气胸35例的临床资料进行回顾性分析。结果治愈31例（90%）,死亡4例（10%）。结论老年慢阻肺并发自发性气胸起病隐匿,进展快,常危及生命,及时诊断和治疗,可降低死亡率。

Objective To discuss the clinic features of chronic obstructive pulmonary emphysema and spontaneous pneumothorax in senile patients., Metttods A retrospective analysis was made to the clinical data of 35 senile patients with chronic obstruetive pulmonary emphysema and spontaneous pneumothorax hospitalized in my hospital from 2001 to 2007. Results 39 patients were cured （90%）and 4 patients died （10%）. Conclusions The onset of chronic obstructive pulmonary emphysema and spontaneous pneumothorax is latent but it deteriorates fast enough to threaten life; immediate diagnosis and treatment can reduce the death rate.