新型“L”型胸引管在血气胸中的应用研究.docVIP

精品论文 参考文献 新型“L”型胸引管在血气胸中的应用研究 何长江 邓纯军（射洪县中医院 四川 遂宁 629200） 　　【摘要】目的：比较评价新型“L”型胸引管在血气胸中的应用与传统胸腔闭式引流管行胸腔闭式引流术。方法：将300 名血气胸患者随机分为两组，分别用“L”型胸引管与统胸腔闭式引流管行胸腔闭式引流术，分别比较。两组患者肺复张时间、胸腔积液无残留时间比较及术后胸部疼痛指数。结果：两组患者一般治疗差异无统计学意义（p）0.05）；实验组在肺复张时间、胸腔积液无残留时间较对照组明显短，术后疼痛指数在肺复张时间、胸腔积液无残留时间较对照组明显短，术后疼痛指数明显低。明显低。结论：新型“L”型胸引管在血气胸中的应用与传统胸腔闭式引流管行胸腔闭式引流术比较在肺复张时间、胸腔积液无残留时间较对照组明显短，术后疼痛指数明显低。 　　【关键词】血气胸；胸腔闭式引流术；在肺复张时间；胸腔积液无残留时间较对照组；术后疼痛指数【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）11-0039-01The new l-type chest tube study on application in hemopneumothoraxHE Chang-jiang ，DENG Chun-jun（Hospital of shehong County, Suining city 629200）Abstract Objective: to compare the new l-type chest tube in hemopneumothorax and traditional application of closed thoracic drainage tube withclosed thoracic drainage.Methods: the 300 hemopneumothorax patients were randomly divided into two groups, respectively, with l-type chest tube andintegration of closed thoracic drainage tube with closed thoracic drainage, respectively.Both groups reexpansion of the lung, pleural effusion, residue-freetime and postoperative chest pain index.Results: no significant difference of treatment in both groups (p) 0.05);Experimental group reexpansion of the lung,pleural effusion, residue-free time was significantly shorter than the control group, postoperative pain scores in the reexpansion of the lung, pleural effusion,residue-free time was significantly shorter than the control group, postoperative pain index was significantly lower.Significantly lower.Conclusion: the newl-type chest tube in hemopneumothorax and traditional application of closed thoracic drainage tube in comparison with closedKeywords: flesh chest, thoracic cavity closed drainage, reexpansion of the lung, pleural effusion, residue-free time and postoperative pain scores thanthe control group.血气胸在我国极为常见，在胸部外伤的患者进行血胸、气胸及开胸手术后，必须常规置胸腔闭式引流管，有效地引流对患者手术的顺利康复起到了至关重要的作用。常规使用的胸腔引流管是直形硅胶引流管，其一端置入胸腔，另一端接胸腔闭式引流瓶，使胸腔里的气体和液体顺利排出。但是这种胸腔引流管置入胸腔的深度不易控制，如置入过深，肺膨胀过程中可压迫引流管，使之扭曲成角而影响引流效果