气胸患者胸腔闭式引流置管部位的选择锁骨中线第2肋间还是安全三角区.pdfVIP

• 474 • 中国急救复苏与灾害医学杂志 2016年5 月第11 卷第5 期 Chin J Emerg Resusc Disaster Med , May 2016 , Vol. 11 No 5 ·论著· 气胸患者胸腔闭式引流置管部位的选择: 锁骨中线第2 肋间还是安全三角区 亢错，丁敏，王涛宁，袁亚迎，祝文，于彬，王伟招，任卉，丁俊冰 咸阳市第一人民医院重症医学科，咸阳 712∞o 摘要:目的探讨安全三角区在气胸患者胸腔闭式引流术中的临床应用价值。方法 82 例拟行胸腔闭式引流术 的气胸患者，选择穿刺置管部位时采取随机双盲法分为安全三角区组及常规部位组(锁骨中线第2肋间)，其中 安全三角区组39 例，常规部位组43 例。两组均按标准胸腔闭式引流术规程进行操作。记录两组胸壁厚度、置 管时间、总操作时间、患者面部表情疼痛评分(FPRS) 、术中出血情况及术后并发症等。结果与常规部位组比 较，安全三角区组胸壁厚度较薄，置管时间及总手术时间缩短，术中疼痛较轻(P0.05) 。术中出血量两组间比 较差异无统计学意义。安全三角区组均1 次置管成功。常规部位组有2 次置人失误。结论安全三角区做为胸 腔闭式引流术的置管部位，较常规锁骨中线第2 肋间更具优势。适宜作为气胸胸腔置管闭式引流术的首选置 管部位。 关键词:安全三角区:气胸:胸腔导管:胸腔闭式引流术 中图分类号: R459.7 文献标识码: A 文章编号: 1673-6966(2016)05-0474-03 Where to place closed thoracic drainage tubes in pneumothorax patients :the second intercostal space at the midclavicular line or the safe triangle KANG Kai , DING Min , WANG Tao-ning, YUAN Ya-ying, ZHU Wen , YU Bin , WANG Wei-zhao , REN Hui , DING Jun-bing.Department of Intensive Care Unit，出e First Peoples Hospital ofXianyang, Xianyang 7120∞， China Corresponding author: DING Min , Email: huzipf@ Abstract: Objective To assess the application of placement of closed thoracic drainage tubes in the safe triangle area for pneumonthorax patients. Methods A total of eighty-two pneumonthorax patients who were to undergo closed thoracic drainage were enrolled. They were randomly divided into two groups according to their insertion sites: a safe triangle area group (39 cases) and a conventional site group (the second intercostal space at the midclavicular line, 42 cases). Both groups underwent surge巧 and then compared for the thickness of the chest wall , the time of tube placement , total operation time , face pain rating score (FPRS) , bleeding during surgeηand complications after surgeη. Results Compared with the conventional site group , the safe triangle area group has the