Chronic obstructive pulmonary disease and spontaneous pneumothorax in 42 cases.docVIP

 PAGE \* MERGEFORMAT 7 Chronic obstructive pulmonary disease and spontaneous pneumothorax in 42 cases [Abstract] Objective To investigate the chronic obstructive pulmonary disease (COPD) complicated by spontaneous pneumothorax. Methods 42 patients with COPD and the clinical diagnosis and treatment of spontaneous pneumothorax were retrospectively analyzed. Diagnosis mainly depends on the results of chest X-ray film or chest CT.42 patients were cured. Conclusions clinical manifestation of COPD and spontaneous pneumothorax typical symptoms and signs of primary disease is easily concealed and easy to misdiagnosis, the need for timely diagnosis and treatment to reduce mortality. [Keywords:] pulmonary disease, chronic obstructive; spontaneous Chronic obstructive pulmonary disease (COPD) spontaneous pneumothorax is one of common medical critical care, acute onset, rapid progression can lead to severe respiratory failure, and the lack of specific clinical manifestations, if not attended to, often lead to serious consequences. now January 2004 ~ October 2009 in our hospital and spontaneous pneumothorax in 42 cases of COPD were reviewed clinical data analysis is as follows. 1 Clinical data 1.1 General information on the 42 cases, including 28 males and 14 females, aged 42 to 78 years, mean age 61 years. All the cases are in line with COPD diagnostic criteria. 20 cases with pulmonary heart disease. Pneumothorax diagnostic criteria based on X-ray film or chest CT diagnosis. 1.2 inducement of respiratory tract infection in 22 cases, 6 cases of hard coughing, breath holding force in 4 cases, 5 cases of weight-bearing force activity, no obvious incentive in 5 cases. 1.3 symptoms of clinical features of difficulty breathing, chest tightness suddenly increased, cyanosis, sweating in 25 cases, 10 cases of chest pain, irritating cough in 7 cases, clear signs of tracheal displacement pneumothorax in 13 cases, auscultation of breath sounds diminished or disappe