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目的:分析并探讨慢性阻塞性肺疾病并发自发性气胸的误诊原因,旨在提升对疾病的认知。方法:选择我院2011年1月至2013年12月105例慢性阻塞性肺疾病患者作为分析对象,并对其临床资料进行回顾性分析。结果:105例慢性阻塞性肺疾病患者中,有28例并发自发性气胸,并出现漏诊误诊现象。结论:慢性阻塞性肺疾病并发自发性气胸起病急,且隐匿性较强,临床症状表现复杂,生命体征变化容易被原发病掩饰,故容易发生误诊和漏诊,应在临床诊疗过程中及时行胸部X片检查,并进行相应处理。
Objective: To analyze and explore the causes of misdiagnosis of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax, aiming to improve the cognition of the disease. Methods: 105 patients with chronic obstructive pulmonary disease in our hospital from January 2011 to December 2013 were selected as the analysis object, and the clinical data were retrospectively analyzed. Results: Among 105 patients with chronic obstructive pulmonary disease, 28 patients had spontaneous pneumothorax and misdiagnosis occurred. Conclusions: Chronic obstructive pulmonary disease complicated with spontaneous pneumothorax has acute onset and is occult, and has complicated clinical symptoms. Vital signs are easily covered by the primary disease, so misdiagnosis and missed diagnosis are easy to occur. Clinical diagnosis and treatment should be timely and in a timely manner Chest X-ray examination, and the corresponding treatment.