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慢性阻塞性肺部疾病:如慢性支气管炎、肺结核、慢性支气管哮喘等在我国发病率较高。尤其是农村,是一种常见病和多发病。这些病人由于反复感染,咳嗽,易产生肺气肿和肺大泡形成。在此基础上容易并发自发性气胸。该并发症虽然不常见,但起病急,来势凶,如不及时诊断,采取正确抢救措施,往往可以危及病人生命。所以必须引起医务人员的高度重视。 慢性阻塞性肺部疾病其病程长,反复发作。平时咳嗽,气急为其主要症状,若此基础上再并发自发性气胸,极易凭主观印象而误诊为肺部慢性阻塞性疾病急性发作。此外,由于受原病的影响,患者的气胸表现不典型,据有关报导误诊率高达21.2％。所以我们在临床工作中应提高百倍警惕,及早发现,及时诊断,正确采取有效的抢救措施,使患者转危为安,挽回病人的生命。
Chronic obstructive pulmonary disease: such as chronic bronchitis, tuberculosis, chronic bronchial asthma in our country a higher incidence. Especially in rural areas, is a common disease and frequently-occurring disease. These patients due to repeated infections, cough, easy to produce emphysema and bulla formation. On this basis, complicated spontaneous pneumothorax. Although the complication is uncommon, the onset of acute, the potential fierce, if not diagnosed in time, to take the correct rescue measures can often endanger the lives of patients. Therefore, medical personnel must pay great attention. Chronic obstructive pulmonary disease its long course, recurrent. Usually cough, shortness of breath for the main symptoms, if the basis of concurrent spontaneous pneumothorax, easily subjective misdiagnosed as the acute pulmonary chronic obstructive disease. In addition, due to the impact of the original disease, the performance of the patient’s pneumothorax is not typical, according to the report misdiagnosis rate as high as 21.2%. Therefore, in clinical work, we should be a hundred times vigilant, early detection, timely diagnosis, proper effective rescue measures to make the patient safe and save the patient’s life.