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目的：探讨慢性阻塞性肺病（COPD）合并自发性气胸的特点，提高临床治疗水平。方法：对近5年间收治的56例COPD并发自发性气胸进行系统性回顾分析研究。结果：COPD并发自发性气胸患者年龄偏大，平均60.2岁，所有病例都存在严重的肺气肿，临床缺乏特异性，张力性气脑发生率高达48．2％，死亡率达14．3％，复发性气胸并非罕见，发生2次或2次以上者达25．0％。结论：COPD并发自发性气胸起病隐匿，进展快，常危及生命，必须提高诊断率，及时处理。
Objective: To investigate the characteristics of patients with chronic obstructive pulmonary disease (COPD) complicated with spontaneous pneumothorax and improve the clinical treatment level. Methods: Fifty-six cases of COPD complicated with spontaneous pneumothorax were reviewed retrospectively. Results: The patients with COPD complicated with spontaneous pneumothorax were older, with an average age of 60.2 years. All patients had severe emphysema, the clinical lack of specificity, the tension-induced pneumocytosis rate was as high as 48.2% and the mortality rate as 14.3% , Recurrent pneumothorax is not uncommon, occurred 2 times or more than 25.0%. Conclusion: COPD complicated with spontaneous pneumothorax occult onset, rapid progress, often life-threatening, we must improve the diagnostic rate and timely treatment.