Clinical analyses of forty cases of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax

Abstract

Objective To study diagnosis situation of forty cases with chronic obstructive pulmonary and spontaneous pneumothorax.Methods Forty cases( admitted from 2005 to 2009 ) of COPD and spontaneous pneumothorax treated in our hospital was retrospectively analyzed.15 cases had pumping decompression by pleural puncture,18 cases had closed thoracic drainage.7 cases of pulmonary compression area ＜ 20% and closed type of pneummothorax with adsolute bed rest and oxygen inhalation for pulmonary reexpansion,3 cases of sugical operation due to invalid conservative treatment.Results X-ray examination was most fundamental and most important examination diagnosing COPD and spontaneous pneumothorax.The diagnosis could not be completely confirmed,the further examination of chest CT should be per-formed.After the diagnosis,must conservative,chest cavity treatments and so on closed type drainage,chest cavity puncture pumping air or surgical operation.Conclusion Patients with chronic obstructive pulmonary disease and spontaneous pneumothorax have poorphysical condition,heavy illness status and fast change Leaks,the error diagnostic rate to be high,easily by primary affection cover,Line of X and so on inspections avoid leaking,the error diagnostic as soon as possible,by complex therapy primarily,strengthens the oxygen uptake,the anti-inf lammatory,the spasmolysis to breathe heavily evenly,the nutrition support and so on auxiliary treatment,raises the cure rate,cuts the mortality rate. Key words: Chronic obstructive pulmonary disease; Spontaneous pneumothorax; Clinical analysis