老年慢性阻塞性肺气肿并发自发性气胸52例分析

Analysis of 52 cases with chronic obstructive pulmonary emphysema and spontaneous pneumothorax in elderly patients

目的 探讨老年慢性阻塞性肺气肿并发自发性气胸的特点。方法 对 1993- 2 0 0 2年我院收治的老年慢性阻塞性肺气肿并发自发性气胸 5 2例的临床资料进行回顾性分析。结果 治愈 4 5例 (86 .5 % ) ,死亡 5例 (9.6 % )。结论 老年慢阻肺并发自发性气胸起病隐匿 ,进展快 ,常危及生命 ,及时诊断和治疗 。

Objective To study the clinic features of the chronic obstructive pulmonary emphysema and spontaneous pneumothorax in the elderly and to improve the diagnose and treatment.Methods Clinical data of 52 elderly patients with the chronic obstructive pulmonary emphysema and spontaneous pneumothorax between 1993-2002 treated in our hospital were analyzed retrospectively. Results In this series, 45 cases (86.5%) were cured, 5 cases (9.6%) were dead.Conclusion It is difficult to diagnose the disease at the onset. The disease develops quickly and is thus dangerous. We must diagnose and treat it timely so as to reduce the mortality.