COPD合并气胸的误诊和漏诊22例分析

Misdiagnosis and missed diagnosis analysis for COPD complicated with pneumothorax

目的对COPD合并气胸的误诊和漏诊病例进行分析,总结治疗经验。方法回顾性总结误诊和漏诊COPD合并气胸22例,分析原因,总结治疗经验。结果多误诊为哮喘急性发作、COPD急性发作、冠心病等。经胸腔抽气或闭式引流,复张18例。结论对COPD合并气胸的患者,应认真进行体格检查,胸部的X线和CT检查,结合临床表现进行诊断,减少误诊和漏诊的发生。

Objective For COPD complicated with pneumothorax misdiagnosis and missed diagnosis cases analysis and experience of treatment. Methods A retrospective summary of misdiagnosis and missed diagnosis of COPD complicated with pneumothorax in 22 cases,analysis the reasons,summarize the experience of treatment. Results Most misdiagnosed as acute exacerbations of asthma,COPD acute attack,Coronary heart disease and so on.After drainage pleural gas or closed drainage,18 cases recruited. Conclusion To patients of COPD with pneumothorax,should do physical examination,X-ray and CT examination conscientiously,diagnosis under the clinical situation,reduce the rate of misdiagnosis and missed diagnosis.