CAJ | 학술논문

目的：探讨慢性阻塞性肺疾病合并急性自发性气胸患者的发病特点及临床诊断。方法回顾性分析我科2012年1月～2013年12月收治的35例慢性阻塞性肺疾病合并急性自发性气胸患者的临床资料。结果35例慢性阻塞性肺疾病合并急性自发性气胸患者，好转出院29例，由于基础疾病恶化，肺功能基本丧失，呼吸衰竭、肺性脑病昏迷死亡3例。由于病情危重经抢救无效最终死亡者3例。结论慢性阻塞性肺疾病合并急性自发性气胸的患者，临床症状比较复杂，病情十分凶险，极易发生误诊而耽误治疗，最终导致死亡。因此一定要密切观察病情变化，高度重视，给予积极处理。
목적：탐토만성조새성폐질병합병급성자발성기흉환자적발병특점급림상진단。방법회고성분석아과2012년1월～2013년12월수치적35례만성조새성폐질병합병급성자발성기흉환자적림상자료。결과35례만성조새성폐질병합병급성자발성기흉환자，호전출원29례，유우기출질병악화，폐공능기본상실，호흡쇠갈、폐성뇌병혼미사망3례。유우병정위중경창구무효최종사망자3례。결론만성조새성폐질병합병급성자발성기흉적환자，림상증상비교복잡，병정십분흉험，겁역발생오진이탐오치료，최종도치사망。인차일정요밀절관찰병정변화，고도중시，급여적겁처리。
Objective To study the clinical characteristics and clinical diagnosis of chronic obstructive pulmonary disease combine with acute spontaneous pneumothorax patient. Methods 35 cases of patients with chronic obstructive pulmonary disease combine with acute spontaneous pneumothorax were retrospectively analyzed from March 2012 to August 2013 in our hospital. Results There were 29 cases had recovered in 35 cases with chronic obstructive pulmonary disease combine with acute spontaneous pneumothorax patient. 3 patients were coma and death due to the respiratory failure and pulmonary encephalopathy. 3 patients were died due to the critical condition.Conclusion Chronic obstructive pulmonary disease combine with acute spontaneous pneumothorax is a serious disease. The clinical symptoms is complex and is easily to misdiagnose,and eventual y lead to death. Therefore,the patients should be seriously observed and taken active treatment.