老年人慢性阻塞性肺病的临床特点分析

Clinical features of chronic obstructive pulmonary disease in the elderly:analysis of 206 cases

摘要:

目的探讨不同疾病来源的老年人慢性阻塞性肺病（COPD）的临床特点。方法用回顾性调查的方法对206例老年COPD患者进行分析。结果206例老年COPD患者中，122例由慢性支气管炎发展而来，其中31例在COPD的发展过程中合并哮喘，84例由哮喘发展而来。由哮喘发展而来的COPD和COPD合并哮喘的患者其PaCO2平均值较高、容易发生Ⅱ型呼吸衰竭、肺性脑病和气胸，并且合并真菌感染和发生死亡的危险也较大。结论由哮喘而来的COPD和COPD合并哮喘的老年患者，其病情相对较重，并发症多，预后较差。

Abstract:

Objective To observe clinical features of chronic obstructive pulmonary disease(COPD) in the elderly. Methods A total of 206 patients with COPD were retrospectively analyzed. Results Of these COPD patients,122 were developed from chronic bronchitis and 31