慢性阻塞性肺疾病并发自发性气胸误诊分析

Chronic blocking lung disease concurrent spontaneous pneumothorax error diagnostic analysis

目的：提高医务人员时慢性阻塞性肺疾病并发自发性气胸的诊断水平，以减少误诊、漏诊率。方法：回顾性分析我院2003-01～2011-01间，慢性阻塞性肺疾病并发自发性气胸110例，并总结误诊原因。结果：本组误诊12例，误诊为慢性阻塞性肺疾病急性发作6例、哮喘急性发作3例、急性左心衰竭3例等。误诊时间为4～72h。结论：对出现病情变化的慢性阻塞性肺疾病患者，应提高警惕、认真体检、常规行胸部X线检查，必要时行胸部CT检查，从而降低慢性阻塞性肺疾病并发自发性气胸的误诊、漏诊率。

Objective：Enhances the medical personnel to the chronic blocking lung disease concurrent spontaneous pneumothorax diagnosis level, reduces the error diagnostic, the rate of missed diagnosis. Methods： The review analyzes my courtyard 2003-01 2011 - 01, the chronic blocking lung disease concurrent spontaneous pneumothorax 110 examples, and summarizes the error diagnos- tic reason. Results：This group misdiagnoses 12 examples,misdiagnoses acute manifests suddenly 6 examples,asthma acutely for the chronic blocking lung disease manifests suddenly 3 examples,the acute left heart failure 3 examples and so on. The error diagnostic time is 4-72 h. Conclusion：To chronic blocking lung disease patient who appears the condition change,should enhance vigilance,the earnest physical examination, the conventional good chest X inspection, essential fashionable chest CT inspection, thus reduces the chronic blocking lung disease concurrent spontaneous pneumothorax the error diagnostic,the rate of missed diagnosis.