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目的总结老年慢性阻塞性肺气肿并发自发性气胸的临床特点。方法回顾性分析42例老年慢性阻塞性肺气肿并发自发性气胸的临床资料。结果患者大多为男性;发病诱因主要有近期呼吸道及肺部感染、剧烈咳嗽、用力排便和负重等;在临床上,大多数患者表现为慢性起病,主要表现为咳嗽症状逐渐加重,并且伴有咳痰、喘息以及胸痛和出现进行性呼吸困难等的症状。结论老年慢性阻塞性肺气肿并发自发性气胸的临床表现复杂,缺乏典型性,应该及时诊断,尽早治疗。
Objective To summarize the clinical features of elderly patients with chronic obstructive pulmonary emphysema and spontaneous pneumothorax. Methods The clinical data of 42 elderly patients with chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax were retrospectively analyzed. Results Most of the patients were male. The predisposing factors included recent respiratory and pulmonary infections, severe cough, forced bowel movements and weight-bearing. In clinical practice, the majority of patients showed chronic onset, which mainly manifested the gradual aggravation of cough symptoms, Expectoration, wheezing, chest pain and progressive dyspnea. Conclusion The clinical manifestations of elderly patients with chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax are complex and lack typicality. They should be diagnosed promptly and treated as soon as possible.