About 46 cases of COPD diagnosis and treatment of spontaneous pneumothorax.docVIP

 PAGE \* MERGEFORMAT 9 About 46 cases of COPD diagnosis and treatment of spontaneous pneumothorax [Abstract] Objective To investigate the chronic obstructive pulmonary disease (COPD complicated with spontaneous pneumothorax and treatment of clinical features. Methods 46 patients with COPD and spontaneous pneumothorax cases were retrospectively analyzed. Results 46 patients, 6 patients by medical cured with conservative treatment, 5 cases recovered after extraction repeated thoracentesis, pleural biopsy in 12 cases after repeated extraction efficiency is poor, later changed to closed thoracic drainage cured, 23 cases of closed thoracic drainage line directly after the recovery. Conclusion COPD complicated by spontaneous pneumothorax in patients with atypical clinical manifestations, misdiagnosis, missed diagnosis, clinicians should be cause enough attention, admissions of such patients should be careful when doctors physical examination, chest imaging time, early diagnosis and effective treatment for active measures taken can reduce mortality. [Keywords:] chronic obstructive pulmonary disease, pneumothorax Spontaneous pneumothorax is chronic obstructive pulmonary disease (COPD serious complication of common emergency is one of the respiratory system [1], because patients usually have varying degrees of chest tightness, shortness of breath and other symptoms, easily compared with the original disease confusing, easily lead to misdiagnosis extended treatment, severe cases can endanger the lives of patients. Therefore, the timely and correct diagnosis and effective treatment to take positive measures is the key to successful treatment. now June 2004 ~ June 2010 admitted to our department 46 cases of spontaneous pneumothorax in patients with COPD were retrospectively analyzed clinical data, reported below. 1 Clinical data 1.1 General Information The group of 46 patients were inpatients in our department, in line with 2007 Chinese Medical Assoc