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目的探讨老年慢性阻塞性肺疾病(COPD)并发自发性气胸的特点及诊疗方法。方法回顾性分析60例老年COPD并发自发性气胸的临床资料。结果有10例首诊误诊,60例全部痊愈,全组患者随诊1个月至2年,自发性气胸复发12例,复发率20%。结论老年慢性阻塞性肺疾病并发自发性气胸临床表现多不典型,易误诊且病情凶险,常会导致严重的心肺功能衰竭,尽早诊断和及时治疗可以有效提高治愈率。
Objective To investigate the characteristics and diagnosis and treatment of senile chronic obstructive pulmonary disease (COPD) complicated with spontaneous pneumothorax. Methods The clinical data of 60 elderly patients with COPD complicated with spontaneous pneumothorax were retrospectively analyzed. Results 10 cases of first diagnosis were misdiagnosed, all 60 cases were cured. All patients were followed up for 1 month to 2 years. There were 12 cases of recurrent spontaneous pneumothorax and the recurrence rate was 20%. Conclusions The clinical manifestations of elderly patients with chronic obstructive pulmonary disease complicated by spontaneous pneumothorax are often atypical, easily misdiagnosed and dangerous, and often lead to severe cardiopulmonary failure. Early diagnosis and timely treatment can effectively improve the cure rate.