论文部分内容阅读
目的：研究老年慢性阻塞性肺疾病（COPD）合并自发性气胸患者的临床症状和特点，及治疗体会。方法：随机选取45例入院治疗的慢性阻塞性肺疾病合并自发性气胸患者，检查并记录其气胸类型、病因、误诊及治疗情况及临床症状，根据治愈情况总结治疗方法。结果：COPD患者临床症状主要表现为呼吸困难、胸闷、大汗淋漓和胸痛咳嗽等。病因主要有慢性支气管炎、支气管哮喘及肺结核；主要易被误诊为急性阻塞性肺疾病、急性心肌梗塞、支气管哮喘急性发作及肺心病急性发作等。结论：该病易被误诊，临床上要仔细问询患者的基本症状，并做必要的检查，根据个体特征设定治疗方案。“,”Objective:To explore the clinical symptoms and features of old patients suffering with Chronic obstructive pulmonary disease(COPD) complicated with spontaneous pneumothorax,and summarize the treatment experience. Method:select 45 patients who were diagnosed with COPD, and record their condition,such as types of pneumothorax、cause of disease、misdiagnosis and a series of clinical symptoms. Result:the clinical symptoms of patients with COPD mainly perform as dyspnea, chest tightness, sweating,chest pain and cough etc;disease causes mainly include chronic bronchitis, asthma and pulmonary tuberculosis etc;and COPD is often easily misdiagnosed as acute obstructive pulmonary disease, acute myocardial infarction, acute attack of bronchial asthma and acute attack of pulmonary heart disease etc.Conclusion:COPD is easily misdiagnosed,so docters should carefuly inquiry the clinical symptoms of patients,and take the necessary checks,ultimately deside the final therapeutic schedule.