Chronic obstructive pulmonary disease misdiagnosed Analysis of 11 cases of a small pneumothorax（慢性阻塞性肺疾病的误诊分析11例气胸）.doc

Chronic obstructive pulmonary disease misdiagnosed Analysis of 11 cases of a small pneumothorax [Abstract] Objective: To explore the small number of patients with chronic obstructive pulmonary disease misdiagnosis of pneumothorax Methods: 11 patients with chronic obstructive pulmonary disease in patients with small pneumothorax, analysis of its clinical manifestations, signs, diagnosis and treatment through the results: 11 patients with chronic obstructive pulmonary disease combined a small amount of pneumothorax in patients with spontaneous pneumothorax diagnosis on admission were more often misdiagnosed as acute left ventricular failure, severe asthma, acute exacerbation of chronic bronchitis etc. Conclusion: to raise awareness of pneumothorax is not a typical example, the key is to reduce misdiagnosis. [Keywords:] chronic obstructive pulmonary disease, pneumothorax, misdiagnosis Spontaneous pneumothorax is a common disease, onset of chest pain, chest tightness, suffocation, no clinical diagnosis more difficult, but chronic obstructive pulmonary disease (COPD are elderly patients, often associated with pulmonary heart disease, multiple pleural adhesions, such Pneumothorax attack patients, signs are atypical, especially a small amount of pneumothorax, the lungs can smell and breath sounds and more, which is usually diagnosed as other diseases. Now in our hospital from January 1998 to April 2005 a small amount of misdiagnosis of COPD patients pneumothorax in 11 patients as follows: 1 Clinical data 1.1 General information: 11 patients were in-patients, all male, were consistent with chronic obstructive pulmonary disease diagnostic criteria [1], all patients were first episode of pneumothorax. Aged 60 -81 years, mean age 69 years, duration of 6 years -35 years, an average of 15 years, 10 patients had a smoking history, smoking index (years count in 400-1200,7 case has quit 3-10 years, seven cases of pulmonary heart disease, 3 patients had high blood di