100例慢性阻塞性肺疾病并发自发性气胸的诊治分析

Diagnosis and Treatment for 100 Cases of Chronic Obstructive Pulmonary Disease Combined Spontaneous Pneumothorax

目的分析对慢性阻塞性肺疾病并发自发性气胸的诊断和治疗方法。方法随机从2005年7月至2011年5月在我院接受诊断与治疗的慢性阻塞性肺疾病并发自发性气胸的患者中选出90例,在对其确诊后,根据患者病情的不同,采用不同的治疗方式,并对每种治疗方式的疗效进行对比,汇总资料,得出结果。结果经过我们对患者病情的分析,采用保守治疗的为25例,采用胸腔闭式引流排气治疗的为33例,采用转外科手术治疗的为32例。结论慢性阻塞性肺疾病并发自发性气胸的原因是多种多样的,对于不同的病情形成原因要采取不同的治疗方式,而且由于其症状有时表现不是很明显,确诊的时间会很长。因此,患者在发现胸痛,胸闷,呼吸困难,气短等自身不适时,应尽早去医院诊断和治疗,以免延误治疗的最佳时机,增加治疗的困难性。

Objective To analyze the methods of diagnosis and treatment for chronic obstructive pulmonary disease combined spontaneous pneumothorax.Methods Choosed 90 patients of chronic obstructive pulmonary disease combined spontaneous pneumothorax in our hospital from Jul 2005 to May 2011,according to their situation,use different treating methods.Recorded the results.Results There were 25 cases treated conservatively,33 cases treated with thoracic closed drainage exhaust,32 cases transferring surgical treatment.Conclusion There were many different causes,we should choose rational methods according to patients＇ situation,because of its symptoms sometimes performance is not obvious,and it takes long time to diagnosis.Patients with chest pain,chest distress,breathing difficulties,shortness of breath and their own not timely,should be released as soon as possible to go to hospital diagnosis and treatment in order to avoid delaying the treatment.The best time,increase the difficulty of the treatment.