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目的:总结慢性阻塞性肺病(COPD)并自发性气胸的临床特点及治疗,以提高其临床诊治水平。方法:回顾性分析2008年1月至201 1年12月收治的COPD并自发性气胸35例的临床资料。结果:本组35例中,治愈30例,自动出院2例,死亡3例。结论:COPD并发自发性气胸的临床表现常不典型,病情危急,易误诊、漏诊;提高对其的临床特点认识和及时正确的综合治疗可改善预后。
Objective: To summarize the clinical features and treatment of chronic obstructive pulmonary disease (COPD) and spontaneous pneumothorax in order to improve its clinical diagnosis and treatment. Methods: The clinical data of 35 patients with COPD and spontaneous pneumothorax admitted from January 2008 to December 2011 were retrospectively analyzed. Results: In the group of 35 cases, 30 cases were cured, 2 cases were discharged automatically and 3 cases died. CONCLUSIONS: The clinical manifestations of COPD complicated with spontaneous pneumothorax are often not typical, the condition is critical, misdiagnosis and missed diagnosis; improve their clinical features and timely and correct comprehensive treatment can improve prognosis.