慢性阻塞性肺疾病合并急性自发性气胸的临床研究(附35例报告)  

The Clinical Research of Chronic Obstructive Pulmonary Disease Combine With Acute Spontaneous Pneumothorax

作　　者：朴海今[1] 高美花[1] 林爱顺[2] 

机构地区：[1]延边大学附属医院急诊科,延吉133000 [2]延边第二人民医院,延吉133000

出　　处：《中国卫生标准管理》2015年第13期36-37,共2页China Health Standard Management

摘　　要：目的：探讨慢性阻塞性肺疾病合并急性自发性气胸患者的发病特点及临床诊断。方法回顾性分析我科2012年1月～2013年12月收治的35例慢性阻塞性肺疾病合并急性自发性气胸患者的临床资料。结果35例慢性阻塞性肺疾病合并急性自发性气胸患者，好转出院29例，由于基础疾病恶化，肺功能基本丧失，呼吸衰竭、肺性脑病昏迷死亡3例。由于病情危重经抢救无效最终死亡者3例。结论慢性阻塞性肺疾病合并急性自发性气胸的患者，临床症状比较复杂，病情十分凶险，极易发生误诊而耽误治疗，最终导致死亡。因此一定要密切观察病情变化，高度重视，给予积极处理。Objective To study the clinical characteristics and clinical diagnosis of chronic obstructive pulmonary disease combine with acute spontaneous pneumothorax patient. Methods 35 cases of patients with chronic obstructive pulmonary disease combine with acute spontaneous pneumothorax were retrospectively analyzed from March 2012 to August 2013 in our hospital. Results There were 29 cases had recovered in 35 cases with chronic obstructive pulmonary disease combine with acute spontaneous pneumothorax patient. 3 patients were coma and death due to the respiratory failure and pulmonary encephalopathy. 3 patients were died due to the critical condition.Conclusion Chronic obstructive pulmonary disease combine with acute spontaneous pneumothorax is a serious disease. The clinical symptoms is complex and is easily to misdiagnose,and eventual y lead to death. Therefore,the patients should be seriously observed and taken active treatment.

关 键 词：慢性阻塞性肺疾病 并发症 急性自发性气胸 

分 类 号：R561[医药卫生—呼吸系统]