红霉素联合参芎葡萄糖胸腔内注射在自发性气胸中的应用.docVIP

精品论文 参考文献 红霉素联合参芎葡萄糖胸腔内注射在自发性气胸中的应用 （山东省禹城市中医院外科 山东 禹城 251200） 【摘 要】目的：探讨红霉素联合参芎葡萄糖针剂胸腔内注射对自发性气胸的适应症、治疗时机，及其与单用红霉素相比较在自发性气胸的治疗效果差别。红霉素联合参芎葡萄糖组患者26例，为治疗组，预先胸腔内注射利多卡因，肌肉注射吗啡，再给予红霉素+参芎葡萄糖针剂；选取单纯红霉素组患者22例，为对照组。结果：治疗组21例漏气停止，5例无效，改行其它方法治疗痊愈；其中6例行连续2次注射后3例漏气停止，3例无效。有效率80.8%；对照组12例有效，10例无效。治疗组与对照组相比较有统计学意义（plt;0.05）。结论：红霉素联合参芎针剂在自发性气胸经单纯胸腔闭式引流无效患者中，效果确切，操作简单，可行性高。其引起胸痛等不适可预防，无严重毒副反应发生。 【关键词】自发性气胸；胸腔内注射；红霉素；参芎葡萄糖注射液；胸腔闭式引流 【中图分类号】R95 【文献标识码】B 【文章编号】1004-6194（2015）02-0441-01 【Abstract】Objective to explore the injection erythromycin add cenxiong glucose at chest cavity of spontaneous pneumothorax indications, timing of treatment, and its application in the effect, adverse reaction and prevention methods. Methods select our hospitalized patients with thoracic surgery spontaneous pneumothorax, the chest closed drainage invalid 26 cases of patients, for the treatment group, advance chest cavity injection lidocaine, muscle morphine, to give injection erythromycin add cenxiong glucose ; Choose pure chest closed drainage 2 weeks invalid in 22 patients, continue to watch to 3 weeks, as control group. Results the treatment group of 21 cases to stop leakage, 5 cases is invalid, switching other method to treat well; Six of the routine for 2 times after injection in 3 leak stop, 3 cases is invalid. The effective rate was 80.8%; The control group 4 cases of effective, 18 cases is invalid. With simple closed drainage chest group compared are statistically significant (p lt; 0.05). Conclusion in the pure erythromycin add cenxiong glucose spontaneous pneumothorax chest closed drainage invalid patients, effect exactly, simple operation, high feasibility. The cause of chest pain and discomfort can prevent, no serious adverse reaction. 【Key words】 spontaneous pneumothorax intrathoracic injection cenxiong glucose injection closed drainage of pleural cavity 自发性气胸（SP）近年来有发病增高趋势，根据病因及临床表现又分为原发性自发性气胸（PSP）和继发性自发性气胸(SSP)。前者是指没有已知的肺部疾病，自发形成气胸；后者是指临床或X线证据表明患者有肺部疾