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目的分析慢性阻塞性肺气肿合并自发性气胸的临床特征。方法对32例慢性阻塞性肺气肿合并自发性气胸就临床资料、诊断及疗效进行统计分析。结果基础疾病复杂。并慢性肺心病者多,多因呼圾道感染和阵发性剧咳起病,胸痛较少。发病时症状体征不典型,并发症多。治疗困难,治疗后,治愈29例,死亡3例。结论慢性阻塞性肺气肿并发自发性气胸,床表现复杂,病情危重,及时诊断和治疗,可降低死亡率。
Objective To analyze the clinical characteristics of chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax. Methods 32 cases of chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax on the clinical data, diagnosis and efficacy of statistical analysis. The results of the basic diseases complicated. And more patients with chronic pulmonary heart disease, mostly due to respiratory tract infections and paroxysmal onset of severe cough, chest pain less. Symptoms when the onset of atypical symptoms and complications. Treatment difficulties, after treatment, cured 29 cases, 3 cases of death. Conclusions Chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax has complicated bed performance, critical illness and timely diagnosis and treatment, which can reduce the mortality rate.