慢性阻塞性肺疾病并发自发性气胸47例临床分析

Analysis of Clinical Characteristics of 47 Cases with COPD Complicated with Spontaneous Pneumothorax

目的探析慢性阻塞性肺疾病并发自发性气胸患者的临床特征。方法回顾性分析47例慢性阻塞性肺疾病并发自发性气胸患者的临床资料,总结其临床特点及治疗结果。结果发病诱因以呼吸道感染和负重为主(74.47%),发病诱因为呼吸道感染的比例明显高于其他因素,差异有统计学意义(P<0.05);临床症状以呼吸困难和咳嗽为主,典型的胸痛少见;听诊呼吸音明显减弱或消失者占72.34%;误诊率17.02%。1例高龄患者因合并其他基础疾病,抵抗力差,并发严重肺部感染而死亡,其他患者确诊后经积极治疗获得了较好的预后。结论慢性阻塞性肺疾病合并自发性气胸患者,症状和体征不典型,确诊后经积极治疗,预后较好。

Objective To Analysis clinical characteristic sof patients with COPD complicated with spontaneous pneumothorax. Methods Retrospective analysis clinical data of 47 cases with COPD complicated with spontaneous pneumothorax, summarizing their clinical characteristics and treatment results. Results Main predisposing factors are respiratory tract infection and weight-bearing（74.47%）, Rate of respiratory tract infection was higher than other factors,the difference was statistically significant （P〈0.05）. Main clinical symptoms are breath difficulty and cough, typical chest pain are rare; Rate of breath sounds significantly reduced or disappeared are 72.34%; Misdiagnosis rate are 17.02. Patients gained a good effect by positive treatment after diagnose. Conclusion Symptoms and signs of COPD complicated with spontaneous pneumothorax are untypical, patients gained a good effect by positive treatment after diagnose.