细管引流加持续低负压吸引治疗自发性气胸的的疗效观察.docVIP

细管引流加持续低负压吸引治疗自发性气胸的的疗效观察 　　【摘要】目的：评估细管引流加持续低负压吸引治疗自发性气胸的疗效。方法：将1995年以来随机抽取的150 例需进行胸腔闭式引流术治疗的自发性气胸患者分为两个治疗组。A组：65例使用深静脉留置套管针行胸腔闭式引流术加持续低负压（0.5～1.5 kPa）吸引治疗自发性气胸。B组：85例常规大导管组治疗自发性气胸。两组结果进行比较。结果：两组在治愈率、有效率、复发率方面差异均无显著性（P0.05），但在肺复张时间及并发症比较差异有显著性。结论：A组治疗自发性气胸创伤小，感染、发热、皮下气肿、胸痛、胸水机会少，患者病痛小，易接受，疗效满意。 　　【关键词】细管引流；持续低负压吸引；自发性气胸 　　文章编号：1009-5519（2007）23-3493-02 中图分类号：R5 文献标识码：A 　　 　　Observation of the curative effect of tubule drain age plus lasting vacuum aspiration for spontaneous pneumothorax 　　CHEN Gong-yu，LI Xu-hui，ZHOU Wu-tie 　　（Department of Respiratory Medicine，The Peoples Hospital of Huizhou，Guangdong 516002，China） 　　【Abstract】Objective:To evaluate the effect oftubule drainage(TD) plus lasting vacuum aspiration (LVA) for spontaneous pneumothorax. Methods:150 cases of spontaneous pneumothorax which were randomly collected since 1995 were devided into two groups.In group A thoracic close drainage plus lasting vacuum aspiration（0.5～1.5 kp） was applied by deep vein detained trochar in 65 cases. In group Broutine catheterwas applied in 85 cases.The effects of the two groups were compared with each other. Results:There were no significant differences in cure rate，effective rate and recurrence rate between groups A and B（P0.05），but there was significant difference in lung recovery time and complications.Conclusion:TD plus LVA for spontaneous pneumothorax is an effective method with smaller trauma，smaller chances of infestation，febricity，pneumoderma，thoracalgia and pleural fluid，which makes it less patients complaint and easieradoption to get a satisfactory curative effect . 　　【Key words】Tubule drainage；Lasting vacuum aspiration；Spontaneous pneumothorax 　　 　　自发性气胸是内科常见急诊之一[1]。患者发生自发性气胸后，胸膜腔的压力升高，胸内负压可变为正压，压缩肺，致静脉回流受阻，产生程度不同的心肺功能障碍，若抢救不及时，严重者可导致死亡。目前，胸管引流仍是气胸治疗的最常用、最有效的方法。细管引流加持续低负压吸引治疗自发性气胸，是胸管引流疗法中相对传统大导管引流法的一种尝试。本文通过对比分析两组患者的疗效及预后，就细管引流加持续低负压吸引治疗自发性气胸的疗效及预后做了相关的分析与探讨。 　　 　　1 资料与方法 　　 　　1.1 观察对象：本文病例选自1995年1月～2007年6月以来随机抽取的150例需进行胸腔闭式引流术治疗的自发性气胸患者（患者经胸穿1～2