慢性阻塞性肺疾病并发自发性气胸的诊治分析

Diagnosis and Treatment of 140 Cases for Chronic Obstructive Pulmonary Disease Combined Spontaneous Pneumothorax

目的探讨并分析慢性阻塞性肺疾病并发自发性气胸的临床诊断和治疗的方法。方法回顾性分析2006年9月—2011年11月于我院就诊的140例慢性阻塞性肺疾病并发自发性气胸患者的临床资料,随机分为试验组80例和对照组60例,试验组采用水封瓶闭式引流或者抽气减压方法进行治疗,对照组采取卧床休息和吸氧等方式进行治疗。结果试验组治疗总有效率为95.0%,对照组总有效率为85.0%,两组比较差异有统计学意义(P<0.05)。结论慢性阻塞性肺疾病并发自发性气胸的病情较为严重,且误诊率和死亡率都较高,及时的诊断和治疗可以有效的降低死亡率。

Objective To discuss the diagnosis and treatment methods for chronic obstructive pulmonary disease com- bined spontaneous pneumothorax. Methods Retrospectly analysis 140 cases of clinical data of chronic obstructive pulmonary disease combined spontaneous pneumothorax. Divide these 140 patients into study group with 80 cases and controlled group with 60 cases. Study group were treated with closed drainage device or suction reduced pressure. Controlled group were treated with oxygen uptake. Results There were the total effect rate of study group was 95.0%, the total effect rate of control group was 85.0%. It was statistic significant （P 〈 0. 05）. Conclusion Chronic obstructive pulmonary disease and the condition of spon- taneous pneumothorax relatively serious, and the misdiagnosis rate and mortality is higher, timely diagnosis and treatment can ef- fectively reduce mortality.