Elderly patients with chronic obstructive pulmonary disease compared treatment of complicated spontaneous pneumothorax.docVIP

 PAGE \* MERGEFORMAT 3 Elderly patients with chronic obstructive pulmonary disease compared treatment of complicated spontaneous pneumothorax [Abstract] Objective: To explore the age-related chronic obstructive pulmonary disease (COPD) combined clinical features of spontaneous pneumothorax, and therapeutic measures. Methods: Clinical data of patients discharged from hospital and literature review method, this study thoracentesis exhaust, exhaust closed thoracic drainage, intrapleural injection of OK adhesion chest surgery, thoracoscopic thoracotomy topical treatment and the different effects in several ways. Results: 74 patients with pneumothorax disappeared two cases of elderly patients with complications and more deaths. Conclusion: The thoracic puncture and thoracic drainage pumping exhaust the treatment of senile spontaneous pneumothorax combined COPD commonly used measures, under local anesthesia efficacy of video-assisted thoracoscopic talc spray the best, hypertonic glucose injection line of pleural adhesion pleural surgery is an effective means of preventing recurrence of pneumothorax. [Keywords:] Aged; chronic obstructive pulmonary disease; spontaneous pneumothorax; treatment; Comparison Spontaneous non-traumatic (spontaneous pneumothorax, SP), mostly with chronic obstructive pulmonary disease (COPD), complications [1]. The age-related symptoms of COPD combined SP weight, complications, and more difficult to diagnose, more insidious. From July 2001 to May 2006, our hospital over the age of 60 were treated SP patients with COPD combined 186 cases, of which 108 cases were treated with mild anti-inflammatory (oral antibiotics and intrapleural erythromycin, tetracycline), cough , oxygen therapy and other conservative treatment cured. 76 cases were used in patients with moderate to severe chest puncture exhaust, exhaust closed thoracic drainage, intrapleural injection of OK pleural adhesions surgery, under local anesthesia spray video-assisted thorac