慢性阻塞性肺疾病合并自发性气胸50例临床分析

Chronic obstructive pulmonary disease complicated by spontaneous clinical analysis of 50 cases

目的探讨与分析慢性阻塞性肺疾病(COPD)合并自发性气胸的临床特点。方法回顾性分析2008年～2011年慢性阻塞性肺疾病合并自发性气胸50例患者的临床资料。结果发病诱因:屏气用力(如举重物、用力排便等)10例(20%),呼吸道感染且伴有严重咳嗽患者22例(44%),情绪出现异常波动患者4例(8%),未发现明显诱因14例(28%)。临床表现:41例患者呼吸困难情况加重,烦躁不安患者3例,具有刺激性咳嗽患者6例,有胸痛现象患者2例。结论慢性阻塞性肺疾病(COPD)合并自发性气胸临床主要表现为呼吸困难加重,并且要注意有无气管移位和单侧呼吸音减弱,及早检查胸部X线片,及时明确气胸诊断。治疗时要以综合措施为主要措施,及早排气,缓解患者病情,以减少死亡人数。

Objective Chronic obstructive pulmonary disease （COPD） complicated by spontaneous discussion and analysis of clinical features. Methods A retrospective analysis of 2008 ~ 2011 years of chronic obstructive pulmonary disease complicated by spontaneous clinical data of 50 patients. Results Predisposing factors： breath-hold force （such as heavy lifting, hard bowel movements, etc. ） in 10 cases （20%）, respirato- ry infections and 22 cases of patients with severe cough （44%）, emotional abnormal fluctuations in 4 patients （8%） found no obvious incentive of 14 cases （28%）. Clinical manifestations： 41 patients with breathing diffi- culties increase, irritability, 3 cases, with the irritating cough of six cases, two cases of patients with chest pain. Conclusion Chronic obstructive pulmonary disease （COPD） complicated by spontaneous clinical mainly dyspnea, and pay attention to whether tracheal shift and unilateral breath sounds diminished, early detection of chest X-ray, timely and clear pneumothorax diagnosis. Treatment to comprehensive measures for the main meas- ures, early exhaust, to ease the patient＇s condition in order to reduce the number of deaths.