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慢性阻塞性肺病(COPD)合并自发性气胸为内科常见急症之一,而发生于老年者病情更为凶险。1990年至2001年间我院共收治32例,现总结报告如下: 1 临床资料 1.1 一般资料:本组32例,其中男20例,女12例,年龄60岁-87岁,平均67.6岁;慢性咳喘史4-34年,平均18年;右侧气胸16例,左侧气胸13例,双侧气胸3例;肺压缩10％-50％,其中10％以下5例,10％-30％16例,30％-50％11例,有3例入院时误诊为COPD急性发作。
Chronic obstructive pulmonary disease (COPD) with spontaneous pneumothorax is one of the most common internal medical emergencies, and occurs in the elderly more dangerous condition. Between 1990 and 2001, our hospital received a total of 32 cases, the report is summarized as follows: 1 Clinical data 1.1 General Information: The group of 32 patients, 20 males and 12 females, aged 60 years -87 years, mean 67.6 years; chronic Cough history 4 to 34 years, an average of 18 years; right pneumothorax in 16 cases, left pneumothorax in 13 cases, bilateral pneumothorax in 3 cases; pulmonary compression 10% -50%, of which less than 10% in 5 cases, 10% -30% 16 cases, 30% -50% 11 cases, 3 cases misdiagnosed as acute exacerbation of COPD on admission.