静脉导管作胸腔闭式引流治疗严重心衰合并气胸15例体会.pdfVIP

2012 年 5 月第 50 卷第 14 期 ·临床探讨· 静脉导管作胸腔闭式引流治疗严重心哀合并 气胸 15 例体会 石成虎 胡风涛 常敏春 陈世雄 湖北省黄梅县人民医院心内科，湖北黄梅 4355∞ [摘要l 目的探讨以静脉导管作胸腔闭式引流管治疗合并严重心衰的自发性气掏患者的治疗效果及安全倦c 方法 单纯气胸于患侧锁骨中线外侧第二肋|同隙，液气胸经腋中线第七、八肋间，局灶性气胸依 CT 定位气体最多处，经皮 微创穿刺的方法在胸腔内置入静脉导管作胸腔闭式引流，交通性气胸可考虑加用负压吸引。结果 15 例患者均在一 周肺复张.拔除导管后未复发。疗效与传统外科手术置管11 流比较差异无统计学意义(P 0.05) ， 并发症明显少于后 者(P 0.05) 。结论以静脉导管作胸腔闭式11 流治疗严重心衰合并自发性气胸安全奋效。 [关键词]静脉导管:胸膛闭式引流:白发性气胸;严重心衰 [中圈分类号1 R561 .4 [文献标识码1 B [文章编号] 1673-9701(2012)14-0137-02 Value of venous catheter in treatment in 15 patients with spontanωus pneu- mothorax combined with severe heart failure SHI Che咱也u HU Fengtoo CHANG Minchun CIIEN Shixio时， Department of Cardiology ,the Peoples Hospital of Huan伊ei Cωnty in Hubei Province ,Huangmei 4355∞，China [Abstract] Objective To analyze the effective and safely of lrealment in patienls with spontaneous pneumothorax combined with severe heart failure. Methods All of 15 patients with spontaneous pneumothorax combined with severe heart failure are treated wilh venous catheter. Negative preS8ure 8uction w，臼 possible heen used in patients with unclosure pneumotho- rax. Results Lung reexpansÌon w国 achieved in all 15 patients in one week , and not recurred after catheters were removed. Compared with the traditional 8urgical treatment , there were not differences of efficacy (PO.OS) , and the complication re- duced obviously (P 0.05). Conclusion It is safe and effeclive to use veno四 catheter in patients with spontaneous pneu- mothorax combined with severe heart failure. (Key words] Venous catheter; Chest tube dr剧nage; Sponta且eous pne