中外医学研究Issue(35)：11-12,13,3.
慢性阻塞性肺疾病并发自发性气胸临床诊治探讨
The Clinical Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease Complicated with Spontaneous Pneumothorax
叶焕荣 1陈美华 1吴雷1
作者信息
- 1. 东莞市第三人民医院 南方医科大学附属东莞石龙人民医院广东 东莞 523326
- 折叠
摘要
Abstract
Objective:To investigate the clinical diagnosis and treatment measures and effect of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax.Method:46 cases of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax in our hospital from March 2012 to March 2013 were selected as research objects.All patients were treated by routine examination and imaging examination,they were treated with conservative treatment or non conservative treatment on the basis of routine treatment,the clinical effects of patients were observed.Result:The group underwent department of internal medicine conservative therapy in 14 cases,pleural puncture pumping gas in 16 cases,closed thoracic drainage in 14 cases,1 case of lung repair operation,45 cases were cured,the cure rate was 97.83%.1 patient with respiratory failure and heart failure,rescue invalid death,mortality was 2.17%. Conclusion:Chronic obstructive pulmonary disease complicated with spontaneous pneumothorax is easily misdiagnosed,with high mortality rate,combining X-ray pulmonary or scan of chest CT can improve the accuracy of diagnosis,timely symptomatic treatment after diagnosis,the clinical effect is significant,can reduce the mortality rate.关键词
慢性阻塞性肺疾病/自发性气胸/诊治Key words
Chronic obstructive pulmonary disease/Spontaneous pneumothorax/Make a diagnosis and give treatment分类
医药卫生引用本文复制引用
叶焕荣,陈美华,吴雷..慢性阻塞性肺疾病并发自发性气胸临床诊治探讨[J].中外医学研究,2014,(35):11-12,13,3.
