老年慢性阻塞性肺气肿并发自发性气胸72例临床观察

目的观察老年慢性阻塞性肺气肿并发自发性气胸的诊断、治疗及预防措施。方法回顾性分析2003年7月～2010年7月收治的48例老年慢性阻塞性肺气肿并发自发性气胸的临床资料。结果引起双侧自发性气胸的肺部基础疾病以慢性支气管炎为主,感染是诱发的主要原因,以交通型气胸为主,双侧气胸发生率高。经治疗后43例好转出院,5例死亡。结论老年慢性阻塞性肺气肿并发自发性气胸起病隐匿、进展快、症状不典型、容易误诊,应采取积极的诊治和预防措施,以降低患者的死亡率。

Objective To summarize the dagnosis,treatment,and prevention measures of older chronic obstructive pulmonary emphysema and spontaneous pneumothorax.Methods A total of 48 patients treated in our hospital from July 2003 to July 2010 were analyzed retrospectively.Results Lung basic diseases he diseases causing bilateral spontaneous pneumothorax are mainly chronic bronchitis,the infection is the main reason to cause the traffic type pneumothorax,bilateral pneumothorax has high incidence.After therapy,43 patients discharged,5 cases were dead.Conclusion Older chronic obstructive pulmonary emphysema and spontaneous pneumothorax has conceal onset,fast progress,atypical symptoms,it is easy to be misdiagnosed,the patients should take active treatment and prevention measures to reduce the mortality of patients.