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目的:探讨慢性阻塞性肺疾病急性加重期并自发性气胸临床诊疗体会。方法:随机抽取我院2013年3月-2015年4月20例慢性阻塞性肺疾病急性加重期并自发性气胸患者作为观察对象,对其临床资料进行回顾性分析,进而总结疾病诊疗体会。结果:20例患者中,共有7例患者发生漏诊,漏诊率达到35.0%;20例合并自发性气胸后,自行缓解3例,穿刺抽气缓解6例,行胸腔闭式引流术后缓解10例,1例患者通过胸外科手术症状得到缓解。结论:慢性阻塞性肺病急性加重期并发自发性气胸患者发病急,且临床表现比较复杂,因此易造成误诊、漏诊,应引起临床注意。同时,根据患者实际情况,采取不同的对症治疗措施,能够提高患者抢救成功率。
Objective: To investigate the clinical diagnosis and treatment of chronic obstructive pulmonary disease in acute exacerbation and spontaneous pneumothorax. Methods: From March 2013 to April 2015, 20 cases of acute exacerbation of chronic obstructive pulmonary disease were randomly selected from our hospital. The clinical data were retrospectively analyzed, and the experience of disease diagnosis and treatment was summarized. Results: Of the 20 patients, 7 cases missed diagnosis and the rate of missed diagnosis was 35.0%. After 20 cases of spontaneous pneumothorax, 3 patients relieved spontaneously, 6 patients underwent puncture and aspiration, and 10 patients underwent thoracic drainage One patient was relieved of thoracic surgery symptoms. Conclusion: Patients with spontaneous pneumothorax complicated by acute exacerbation of chronic obstructive pulmonary disease have acute onset and complicated clinical manifestations. Therefore, it is easy to cause misdiagnosis and missed diagnosis, and clinical attention should be drawn. At the same time, according to the actual situation of patients, take different symptomatic treatment measures, can improve the success rate of patient rescue.