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目的:探讨老年慢性阻塞性肺气肿并发自发性气胸的诊断、治疗及预防措施。方法:选取2008年6月至2012年6月我院收治的老年慢性阻塞性肺气肿并发自发性气胸患者40例进行回顾性分析,根据患者的不同病情采取不同的治疗方式。结果:慢性阻塞性肺气肿是造成自发性气胸的主要基础性疾病,感染是主要诱因;40例患者经治疗后36例痊愈出院,4例死亡,死亡率为10.0%。结论:老年慢性阻塞性肺气肿并发自发性气胸由于病理较为复杂,容易误诊,因而必须加强对疾病的人诊断、治疗,并做好预防措施,以降低患者死亡率。
Objective: To investigate the diagnosis, treatment and preventive measures of senile chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax. Methods: From June 2008 to June 2012, 40 elderly patients with chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax admitted to our hospital were retrospectively analyzed. Different treatment methods were adopted according to the patients’ different conditions. Results: Chronic obstructive pulmonary emphysema was the major underlying cause of spontaneous pneumothorax. Infection was the main cause of infection. Thirty-six patients were cured and discharged, and 4 died. The mortality rate was 10.0%. Conclusion: Chronic obstructive pulmonary emphysema in elderly patients with complicated spontaneous pneumothorax is more complicated and easily misdiagnosed. Therefore, it is necessary to strengthen the diagnosis and treatment of the disease and to take preventive measures to reduce the mortality rate.