ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHÂN COPD TRÀN KHÍ MÀNG PHỔI VÀ MỘT SỐ YẾU TỐ NGUY CƠ TẠI BỆNH VIỆN PHỔI THÁI NGUYÊN

Abstract

Introduction: Pneumothorax in COPD patients is quite common nowadays. Objectives: Describe the clinical and paraclinical characteristics of COPD patients with pneumothorax complications and some risk factors. Methods: Descriptive and analytical study. The subjects were COPD patients treated at Thai Nguyen Lung Hospital from June 2023 to June 2024. Select all COPD patients with pneumothorax as the disease group, 23 patients, randomly select 69 COPD patients without pneumothorax as the control group. Results: The rate of COPD with pneumothorax was 0.03%. The male rate was 93.5%. The average age was 63.1±18.4. Distribution according to GOLD II stage was 69% in the group with pneumothorax and 33% in the group without pneumothorax. The rate of cardiovascular comorbidities was 59.8%. Discussions: Men have more pneumothorax than women, age >50 has more pneumothorax due to the characteristics of men being more active, having more adverse events, and having a higher risk of pulmonary embolism. Patients with COPD stages GOLD II and III have a high rate of hospitalization, therefore, the rate of pneumothorax stage II will be high. The most common comorbidity is cardiovascular disease. Conclusions: Pneumothorax complications in COPD patients occur at 0.03%. GOLD II factors, male gender, and cardiovascular comorbidity are risk factors for pneumothorax with ORs, CI95% being: 3.1 (1.173-8.252); 1.7 (0.1903-15.532) and 1.4 (0.509-3.630), respectively. Recommendations: Clinicians need to be alert to pneumothorax complications in COPD patients with GOLD II level, male gender, and cardiovascular comorbidity.