COPD合并自发性气胸48例治疗临床分析

Clinical Analysis of 48 Cases of Spontaneous Pneumothorax with Chronic Obstructive Pulmonary Disease

目的:探讨COPD(慢性阻塞性肺病)并自发性气胸的临床特点、治疗及预后。方法:对2001年1月至2008年12月间本院收治的48例COPD并自发性气胸患者进行临床分析。结果:48例COPD并自发性气胸患者临床表现多样,首次确诊率不到80%,死亡率8.25%,单纯抽气治愈10例,胸腔闭式引流治愈22例。胸腔闭式引流+负压吸引治愈15例,手术治疗1例。肺复张平均天数单纯抽气10天,胸腔闭式引流9天,胸腔闭式引流+负压吸引7天,手术治疗15天。结论:COPD并自发性气胸治疗多需排气减压术,复张时间较长,治疗以胸腔闭式引流+负压吸引为宜。

Objective： To investigate the clinical features, treatment and prognosis of COPD（Chronic obstructive pulmonary disease） combine with spontaneous pneumothorax. Methods： Analysis of 48 cases of spontaneous pneumothorax with COPD between Jan 2001 to Dec 2008. Results： 48 cases of spontaneous pneumothorax with COPD have di verse clinical manifestations, the first confirmed incidence was less than 80%, and the mortality was 8.25%, 10 cases were treated with simple suction, 22 cases, with closed thoracic drainage, 15 cases with closed thoracic drainage added suction, and one case with surgical treatment. The average days of lung reexpansion： 10 in suction group, 9 in closed thoracic drainage group, 7 in chest drainage suction added suction group and 15 in surgery group. Conclusion： Treatment of COPD with spontaneous pneumothorax required exhaust pressure operation. The expansion time of lung was long. the treatment method of closed thoracic drainage added suction was better than the others.