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目的:探讨COPD(慢性阻塞性肺疾病)并自发性气胸的临床特点、治疗及防范误诊对策。方法:对2002年1~2009年12月间本院治疗的60例COPD并发气胸的患者进行临床分析。结果:60例COPD并自发性气胸患者临床表现多种多样,呼吸困难为突出表现占87%,首次确诊率约82%,治疗上以行胸腔闭式引流术排气为主。结论:COPD并自发性气胸是临床常见病,误诊率高,治疗上以闭式引流为主,应提高诊断水平,减少误诊。
Objective: To investigate the clinical characteristics of COPD (chronic obstructive pulmonary disease) and spontaneous pneumothorax, and to treat and prevent misdiagnosis measures. Methods: Clinical data of 60 patients with COPD complicated with pneumothorax treated in our hospital from January 2002 to December 2009 were analyzed. Results: The clinical manifestations of 60 patients with COPD and spontaneous pneumothorax were diverse, with dyspnea accounting for 87%, and the first diagnosis of about 82%. The drainage of thoracic closed drainage was the main treatment. Conclusion: COPD and spontaneous pneumothorax is a common clinical disease, misdiagnosis rate is high, the treatment of closed drainage mainly should raise the level of diagnosis and reduce misdiagnosis.