单管持续胸腔灌洗加闭式引流治疗急性脓胸的研究.docVIP

单管持续胸腔灌洗加闭式引流治疗急性脓胸的研究 周述博1张本斯1李 庄2左 浪2 (1.大理学院人体解剖教研室，大理 671000 ;2.大理学院附属医院心胸外科，大理 671000） 【摘要】目的：探讨单管胸腔持续灌洗加闭式引流治疗急性脓胸的临床疗效。 方法：对我院 2004 年9月至 2012 年 9 月确诊为急性脓胸的 136 例老年患者（年龄大于 60 岁）的治疗方法进行回顾性分析，其中药物（药物组）治疗 43 例、胸腔闭式引流术（常规组）治疗 50 例、单管胸腔持续灌洗加闭式引流（改良组）治疗 43 例三组，并对治愈率、住院时间进行比较分析。 结果：三种治疗方法均无死亡病例。改良组治愈率 86%，常规组治愈率 64%，药物组治愈率 58%。药物组住院天数（18.6±3.6）d，常规组住院天数（15.3±2.7）d，改良组住院天数（8.2±1.5）d。改良组与药物组、常规组在治愈率和住院时间上相比较差异有统计学意义（F=129.012,P=0.000; χ2 =8.815,P=0.012）。 结论：单管持续胸腔灌洗加闭式引流术对老年人及体质较弱的急性脓胸患者可以提高治愈率和缩短住院时间。值得临床推广。 【关键词】急性脓胸；闭式引流；治疗；手术 【中国图书分类法分类号】R655 【文献标识码】A Study on single tube thoracic continuous lavage and close drainage in the treatment of acute empyema ZHOU Shubo1, ZHANG Benshi1, LI Zhuang2,ZUO Lang2 (1. Teaching and Research Section of Human Anatomy Dali College;2. Department of Cardiothoracic Surgery,the Affiliated Hospital of Dali College) 【Abstract】Objective: To study the efficacy of single tube thoracic continuous lavage and close drainage in the treatment of acute empyema. Methods:From September 2004 to September 2012,the clinical data of 136 elderly patients (60 yeas old) with acute empyema were retrospectively analyzed.Forty-three cases treated by medicine were taken on pharmacological group,50 cases treated by thoracic cavity closed drainage were taken as conventional group and 43 cases treated by single tube thoracic continuous lavage and closed drainage were taken as modified group.Curative rate and the hospital duration were compared and analyzed. Results:None died. Curative rate of modified group was 86%,of conventional group was 64% and of pharmacological group was 58%. Average hospital duration of pharmacological group was（18.6±3.6）d,the conventional group was（15.3±2.7）d and of modified group was（8.2±1.5）d.There were significant difference among three of group in curative rate and hospital duration （F=129.012,P=0.000; χ2 =8.815,P=0.012）. Conclusions:For elderly or physically weak patients with acute empyema,single tu