摘要
目的:探讨慢性阻塞性肺疾病(COPD)自发性气胸的诊治率及生存率。方法:回顾性分析2004～2008年我院收治的35例并发于老年COPD的自发性气胸患者的临床资料。结果:对于老年COPD的自发性气胸患者X线检查是确诊最基本最重要的检查,胸部X线检查不能完全确诊者,可行胸部CT进一步检查。确诊为气胸后据病情立即行胸膜腔穿刺抽气减压8例,胸腔闭式引流20例,2例肺压缩面积<20%的闭合型气胸患者采用绝对卧床休息及吸氧后肺复张,5例因治疗无效行外科手术治疗治愈。结论:老年COPD并发自发性气胸患者年龄大,体质差,病情重,变化快,必须及早检查确诊,以免漏诊;处理需谨慎,治疗时以综合措施为主,尽早排气,缓解病情,从而降低死亡率。
Objective：To enhance the diagnosis rate and the survival of chronic obstructive pulmonary disease （COPD） complicated with spontaneous pneumothorax. Methods：Thirty-five cases （admitted from 2004 to 2008） of COPD spontaneous pneumothorax treated in our hospital were retrospectively analyzed.Results：X-ray examination was most fundamental and most important examination diagnosing COPD spontaneous pneumothorax.The diagnosis could not be completely confirmed, the further examination of chest CT should be performed.After confirmed diagnosis,there were 8 cases of prompt pleural cavity puncture exhaust decompression,20 cases of closed thoracic drainage,2 eases of pulmonary eompression area 〈20% and dosed type of pneummothorax with adsolute bed rest and oxygen inhalation for pulmonary reexpansion, 5 cases of sugical operation due to invalid conservative treatment.Conclusion：The elderly patients with COPD complicated with spontaneous pneumothorax, due to old age, poor physical condition, rapid change, must be diagnosed as early as possible in order to avoid misdiagnosis.Treatment must be cautious.The comprehensive measures should be taken,performing exhaust as soon as possible to ease the eondition, thereby reduce the mortality.
出处
《现代医药卫生》
2009年第11期1623-1624,共2页
Journal of Modern Medicine & Health
关键词
慢性阻塞性肺疾病
自发性气胸
胸腔闭式引流
Chronie obstructive pulmonary disease （COPD）
Spontaneous pneumothorax
Closed thoracic drainage
