CAJ | 학술논문

目的：探讨慢性阻塞性肺气肿合并自发性气胸患者术后治愈率和复发率，并分析其成因。方法：通过收集我院2010年9月～2011年11月慢性阻塞性肺气肿合并自发性气胸接受手术的56例患者的临床资料，统计患者基本资料及手术治疗方法等情况，并随访患者术后治愈率和复发率，分析可能成因。结果：治愈50例，死亡6例，其中2人因感染性休克死亡，4例因高龄并发呼吸衰竭死亡，治愈率89．2％，死亡率12％，复发7人，复发率14％。通过单因素统计学分析，发现术后复发率与术前发作次数有统计学意义（p＜0．05）。结论：慢性阻塞性肺气肿合并自发性气胸发病迅速，病情复杂，临床应尽快确诊，合理制定方案，根据情况早期手术，重视术前发作次数，预测术后复发率。
목적：탐토만성조새성폐기종합병자발성기흉환자술후치유솔화복발솔，병분석기성인。방법：통과수집아원2010년9월～2011년11월만성조새성폐기종합병자발성기흉접수수술적56례환자적림상자료，통계환자기본자료급수술치료방법등정황，병수방환자술후치유솔화복발솔，분석가능성인。결과：치유50례，사망6례，기중2인인감염성휴극사망，4례인고령병발호흡쇠갈사망，치유솔89．2％，사망솔12％，복발7인，복발솔14％。통과단인소통계학분석，발현술후복발솔여술전발작차수유통계학의의（p＜0．05）。결론：만성조새성폐기종합병자발성기흉발병신속，병정복잡，림상응진쾌학진，합리제정방안，근거정황조기수술，중시술전발작차수，예측술후복발솔。
Objective:To explore the chronic obstructive emphysema patients complicated with spontaneous pneumothorax after cure rate and recurrence rate , and analysis of its causes .Methods:the clinical data of 56 patients were collected in our hospital from 2010 Sep-tember to 2011 November of chronic obstructive emphysema combined with spontaneous pneumothorax underwent operation of patients with basic information , statistics and operation method of treatment , and follow -up of patients with postoperative cure rate and recurrence rate, analysis of possible causes .Results:50 cases were cured, 6 cases died, in which 2 people died of infective shock , 4 cases died of old age patients with respiratory failure , the cure rate was 89.2%, mortality 12%, 7 relapsed, the relapse rate was 14%.Conclusion:Chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax was quickly , the condition is complex , clinical should be diagnosed as soon as possible , reasonable plan , according to the situation of the early operation , paying attention to preoperative Abstract Objective:To explore the chronic obstructive emphysema patients complicated with spontaneous pneumothorax after cure rate and recurrence rate , and analysis of its causes .Methods:the clinical data of 56 patients were collected in our hospital from 2010 Sep-tember to 2011 November of chronic obstructive emphysema combined with spontaneous pneumothorax underwent operation of patients with basic information , statistics and operation method of treatment , and follow -up of patients with postoperative cure rate and recurrence rate, analysis of possible causes .Results:50 cases were cured, 6 cases died, in which 2 people died of infective shock , 4 cases died of old age patients with respiratory failure , the cure rate was 89.2%, mortality 12%, 7 relapsed, the relapse rate was 14%.Conclusion:Chronic obstructive pulmonary emphysema complicated with spontaneous pneumothorax was quickly , the condition is complex , clinical should be diagnosed as soon as possible , reasonable plan , according to the situation of the early operation , paying attention to preoperative attack times, predicting postoperative recurrence rate .