摘要
本文就慢性阻塞性肺病(COPD)组伴自发性气胸50例,非慢性阻塞性肺病(N-COPD)组伴自发性气胸115例,两组在临床方面有关问题进行分析和探讨。结果提示:COPD伴自发性气胸的患者发病年龄偏高,50岁以上多见。感染为常见诱发因素,同时并发症多,尤以胸腔积液多见,本组交通性气胸占54.5％,而N-COPD组,年青人多见,无诱因和休息状态下发病占70.9％。本资料165例死亡5人,其中COPD组占4人,3人死于呼衰且直接与气胸有关,因肺心病原心肺功能较差,一旦发生气胸即使肺压缩不很重也可导致和加重呼衰,甚至危及生命。
In this article, 165 cases suffering from spontaneous pneumothoraxwere analysed comparatively in 50 with COPD and 115 with non-COPD.The results suggested that an important difference between the COPDand non-COPD groups was found in age distribution with a largerproportion of older COPD patients over 50 years of age. In this COPDpatients, usually infection was the commonest predispositions, andcommunicated pneumothorax accounted for 54.5%, and the probabilityof complication was increased. Non-COPD patients with high morbidityin junior patients accourtted for 70.9%. Diseases often developed underno predisposed factors and in resting conditions. In this article, 5 of165 patients died, among them four patients with COPD. 3 cases ofwhich died of respiratory failure related to spontaneous pneumothorax.this finding may be related prior to decreased of cardiac and lung dueto COPD. Therefore the COPD patients should be treated by combinedmeasures including chest tube treatment.
关键词
气胸
阻塞性肺病
pneumothorax
chronic obstructive pulmonary disease
