摘要
目的分析慢性阻塞性肺疾病急性发作(AECOPD)行机械通气时并发自发性气胸的漏诊和误诊率、发病诱因及死亡率,为提高诊断和治疗水平提供参考依据。方法采用方便抽样法分析本院ICU2008年11月～2012年5月收治的AECOPD行机械通气时并发气胸患者26例,观察漏诊和误诊率,以及发生自发性气胸的诱因和死亡率。结果误诊和漏诊发生率为19.2%,诱因包括呼吸道感染、哮喘发作、过度用力以及无明显诱因者,死亡率为15.38%。结论 AECOPD患者容易并发自发性气胸,误诊漏诊率和死亡率均较高,需要从多方面提高对AECOPD行机械通气患者自发性气胸的及早诊断率。
Objective To provide reference to improving the diagnosis and treatment by analyzing the rate of missed diagnosis and misdiagnosis,the predisposing factors and the death rate on AECOPD patients who complicated spontaneous pneumothroax when treated by mechanical ventilation.Methods The rate of missed diagnosis and misdiagnosis were analyzed,the predisposing factors and the death rate on 26 patients who complicated spontaneous pneumothroax when treated by mechanical ventilation from ICU department of our hospital from November 2008 to May 2012.Results The rate of missed diagnosis and misdiagnosis was 19.2%,the predisposing factors included respiratory tract infection,asthma attack,excessive force and no apparent reasons,the death rate was 15.38%.Conclusion AECOPD patients are in high risk of complicating spontaneous pneumothroax,the rate of missed diagnosis and misdiagnosis is high which need improving the rate of early diagnosis of spontaneous pneumothroax on AECOPD patients who treated mechanical ventilation from every aspects.
出处
《中国当代医药》
2012年第33期167-168,共2页
China Modern Medicine
关键词
慢性阻塞性肺疾病急性发作
机械通气
自发性气胸
分析
Acute chronic obstructive pulmonary disease
Mechanically ventilation
Spontaneous pneumothorax
Analysis
