慢性阻塞性肺病(COPD)合并自发性气胸因起病隐匿,进展较快,临床表现缺乏特异性,如诊疗不及时,会导致严重后果,只有及时诊断采取有效措施才是抢救成功的关键。本院从1990年1月至1995年10月收治这类患者38例,分析如下。 1 临床资料 38例患者中男性36例,女性2例,年龄51～76岁,平均62.8岁。起病前均有明确COPD病史,最短4年,最长26年,平均12.4年,25例起病时有诱 Chronic obstructive pulmonary disease (COPD) complicated by spontaneous pneumothorax occult onset, rapid progress, lack of specificity of clinical manifestations, such as treatment is not timely, will lead to serious consequences, only the timely diagnosis and effective measures is the key to the success of the rescue. The hospital from January 1990 to October 1995 admitted to 38 patients with such patients, the analysis is as follows. 1 clinical data of 38 patients, 36 males and 2 females, aged 51 to 76 years, an average of 62.8 years old. Before the onset of a clear history of COPD, the shortest 4 years, up to 26 years, an average of 12.4 years, 25 cases of onset when induced