老年慢性阻塞性肺气肿并发自发性气胸的诊治体会

Diagnosis and treatment of senile chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax

目的:分析老年慢性阻塞性肺气肿并发自发性气胸的临床治疗方法及效果。方法:选取所在医院2013年7月至2016年12月85例老年慢性阻塞性肺气肿并发自发性气胸患者,对其临床资料进行回顾性分析,根据患者临床治疗方法分组,观察组(n=42)给予系统性治疗干预,对照组(n=43)实施常规治疗方法,对比两组患者临床治疗效果。结果:观察组治疗总有效率(95.24%)高于对照组的(76.74%),组间差异明显(P<0.05);观察组肺部感染、肺不张并发症发生率(7.14%)低于对照组的(20.93%),两组存在显著差异(P<0.05)。结论:老年慢性阻塞性肺气肿患者易合并自发性气胸,加重病情,及时采取必要的系统性治疗,能够最大程度提高患者诊治成效。

Objective To analyze the clinical treatment of senile chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax. Method： Select the hospital in July 2013^2016 year in December 85 cases of elderly patients with chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax patients , the clinical data were retro-spectively analyzed, according to the clinical treatment group, the observation group （n=42） received systemic treatment inter-vention, the control group （n=43） received routine treatment, compared 2 groups of patients with clinical curative effect Re-sult： The total efficiency of the observation group （95. 24%） was higher than the control group （76. 7 4 % ）, with obvious difference between groups （_ P 〈 0. 05） ; observation group, pulmonary infection and atelectasis complication rate （7. 14/^） than in the control group （20. 93%）,2 groups had significant difference （P〈 0. 05）. Conclusion： Elderly patients with chron-ic obstructive pulmonary disease is easy to merge with spontaneous pneumothorax, increase the severity of the disease, and take the necessary systemic treatment in time, which can improve the diagnosis and treatment of patients.