小儿脓胸手术临床治疗效果分析.docVIP

小儿脓胸手术临床治疗效果分析 　　[摘要] 目的 探讨在脓胸患儿中实施不同术式治疗的临床效果。方法 整群选取2012年1月―2015年1月到该院儿科治疗的68例脓胸患儿纳入研究，并通过随机对照法均分成两组，对照组34例选择传统开胸手术处理，观察组34例实施电视胸腔镜手术治疗，研究和评估两组的术中与术后处理情况。结果 经相应处理后，发现观察组手术用时、术中失血量、术后留置胸管时间、抗生素用药时间和住院时间[（52.83±12.55）min、101.42±22.71）mL、（12.72±2.11）d、（13.04±2.38）d、（13.82±2.70）d]分别明显低于对照组[（108.69±30.83）min、（219.62±42.09）mL、（14.51±3.14）d、（15.45±2.73）d、（16.68±2.81）d]，差异有统计学意义（P0.05）。手术安全方面，两组对象均未见血胸、气胸等合并症发生。结论 选择电视胸腔镜手术对脓胸患儿展开救治，手术效果更加理想、安全，适合加强推广。 　　[关键词] 小儿；脓胸手术；电视胸腔镜手术；临床效果 　　[中图分类号] R59 [文献标识码] A [文章编号] 1674-0742（2015）09（b）-0037-03 　　[Abstract] Objective To study the clinical effect of different operative methods in treating infantile empyema. Methods 68 children with empyema admitted to the Department of Pediatrics in our hospital between January 2012 and January 2015 were enrolled in this randomized， controlled study in which 34 patients in the control group underwent traditional thoracic surgery， and the other 34 patients received video-assisted thoracoscope surgery. Intraoperative and postoperative surgical parameters of the two groups were researched and evaluated. Results After the appropriate treatment， the operation time， intraoperative blood loss volume， chest tube duration， the time of using antibiotic drug and the hospitalization time of the observation group （52.83±12.55）min、101.42±22.71）mL、（12.72±2.11）d、（13.04±2.38）d、（13.82±2.70）d were all significantly less than those of the control group （108.69±30.83）min、（219.62±42.09）mL、（14.51±3.14）d、（15.45±2.73）d、（16.68±2.81）d respectively （P0.05）. In terms of operation safety， no hemothorax， pneumothorax and other complications occurred in the two groups. Conclusion For children with pyothorax， video-assisted thoracoscope surgery can produce more ideal and safe efficacy， which is suitable for promotion. 　　[Key words] Children； Pyothorax operations； Video-assisted thoracoscope surgery； Clinical effect 　　脓胸是现代医学对一类肺部感染病的统称，其常与肺炎合并发作，可随病情进展而在肺表层产生一层纤维膜，从而对患儿的肺通气功能构成影响，甚至可能诱发低氧血症，危害极大。以往临床普遍采取营养支持、抗生素控制感染等措施治