老年气胸合并慢阻肺的诊疗临床分析

The elderly patients with pneumothorax combined chronic obstructive pulmonary disease diagnosis and clinical analysis

目的研究老年气胸合并慢性阻塞性肺疾病患者的临床特点及治疗方法。方法对我院2016年1月至2018年12月收治的30例老年自发性气胸患者的临床资料进行回顾性分析。结果30例老年患者中,治愈28例,其中完全肺复张者25例,肺复张达80%~90%者3例,因严重感染或呼吸衰竭而死亡2例。结论合并有慢性阻塞肺疾病病史的老年气胸患者发病较突然,病程进展较快,易误诊且病情凶险,尽早给予胸腔闭式引流等对症治疗有助于疾病的好转。

Objective To study the clinical characteristics and treatment of senile pneumothorax patients with chronic obstructive pulmonary disease.Methods The clinical data of 30 elderly patients with spontaneous pneumothorax admitted to our hospital from January 2016 to December 2018 were retrospectively analyzed.Results Of the 30 elderly patients,28 cases were cured,including 25 cases with complete pulmonary reexpansion,3 cases with 80%~90%pulmonary reexpansion,and 2 cases with severe infection or respiratory failure.Conclusion Elderly pneumothorax patients with a history of chronic obstructive pulmonary disease have a relatively sudden onset,a rapid course of disease progression,easy to be misdiagnosed and dangerous condition,so the symptomatic treatment such as closed thoracic drainage as early as possible is conducive to the improvement of the disease.