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老年慢性阻塞性肺气肿合并自发性气胸,病情凶险,若诊断不及时处理不当,则病死率极高。1990年～1997年我科收治的老年慢性阻塞性肺气肿合并自发性气胸36例报告如下: 临床资料:1.一般资料:36例中男30例,女6例,年龄61～83岁,平均73岁,慢性支气管炎病史10～36年,合并肺心病20例。诱发因素多为近期呼吸道感染,无明显诱因6例。2.气胸情况:右侧气胸19例,左侧气胸16例,双侧气胸
Elderly chronic obstructive pulmonary emphysema with spontaneous pneumothorax, dangerous condition, if the diagnosis is not handled properly, the case fatality rate is high. From 1990 to 1997 in our department admitted to the elderly with chronic obstructive pulmonary empyema in 36 cases of spontaneous pneumothorax reported as follows: Clinical data: 1. General information: 36 cases of 30 males and 6 females, aged 61 to 83 years old, Average 73 years old, history of chronic bronchitis 10 to 36 years, 20 cases of pulmonary heart disease. Most of the predisposing factors for recent respiratory infections, no obvious incentive in 6 cases. 2. Pneumothorax: 19 cases of right pneumothorax, left pneumothorax 16 cases, bilateral pneumothorax