Chronic obstructive pulmonary disease with spontaneous pneumothorax treatment and care.docVIP

 PAGE \* MERGEFORMAT 13 Chronic obstructive pulmonary disease with spontaneous pneumothorax treatment and care 【Abstract】 Objective: To investigate elderly patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax treatment and care. Methods: Retrospective analysis of our hospital from January 2000 ~ January 2008 36 patients with chronic obstructive pulmonary disease with clinical data of spontaneous pneumothorax. Results: 36 cases, 33 cases (91.7%) discharged from hospital cured or improved, 1 case (2.8%) surgical treatment, 2 cases (5.6%) died. Conclusion: Chronic obstructive pulmonary disease with acute onset of spontaneous pneumothorax and not typical of the high mortality rate of misdiagnosis, thoracic drainage is the most common and effective method. Keywords: chronic obstructive pulmonary disease; spontaneous pneumothorax; treatment; nursing Chronic obstructive pulmonary disease complicated with spontaneous pneumothorax, the elderly is often associated with underlying diseases, clinical manifestations are not typical, pneumothorax occurs, the symptoms of primary disease easily concealed, easily lead to misdiagnosis, delayed treatment. Are now in our hospital from January 2000 ~ January 2008 treated patients with chronic obstructive pulmonary disease with 36 cases of spontaneous pneumothorax in the treatment and care clinical data analysis, the report is as follows. A clinical data 1.1 General Information 36 cases of elderly patients, male 24 cases, female 12 cases; aged 60 to 79 years with an average (65.71 ± 2.32 years). All patients were characterized by chest radiography or chest CT and / or diagnostic puncture confirmed. 1.2 pneumothorax classification criteria 5 mL glass syringe with local anesthesia in the chest when the suction gas 1 mL, such as the needle inside the gas with the breathing tube back into the pleural cavity is closed; pin bolt moving back a