胸部手术后胸腔引流管的应用探讨  

Application of Thoracic Drainage Tube after Thoracic Operation

作　　者：田海峰[1] 

机构地区：[1]河南省人民医院胸外科,郑州市450003

出　　处：《医药论坛杂志》2006年第17期11-12,共2页Journal of Medical Forum

摘　　要：目的 探讨胸部手术后常规引流管与改进后的引流管的引流效果。方法 将2002年6月～2004年6月收治的胸外科患者随机分为两组，改进组134例，对照组106例，关胸后分别施行改进的和常规的胸腔引流方法。改进组的胸腔引流管长约60era，一端剪2个侧孔，置于病变处，于肋膈角处再剪一侧孔，引出体外接引流瓶。结果 改进组发现胸腔局灶积液11例（8．2％），经1～2次定位穿刺抽吸后消失。而对照组发现胸腔局灶性积液42例（39．6％），其中33例经一次定位穿刺抽吸后消失，7例多次定位穿刺抽吸后消失，18例患者发热持续1周以上。结论 两组并发胸腔积液率有显著差异（P〈0．01）。改进后的胸腔引流管优于常规引流管。Objective To study the drainage results of the regular drainage tube and improved drainage tube after thoracic operation. Methods The 240 patients suffering from thoracic diseases were divided into two groups from June 2002 to June 2004. The modified group was 134 cases, and the contrast group was 106 cases. These patients were inserted modified thoracic drainage tube or routine thoracic drainage tube. The modified thoracic drainage tube was 60 centimeters long. There were two lateral holes in its end, and put this end to lesion, made another lateral hole and put the lateral hole to costophrenic angle, then made another end of thoracic drainage tube out of body to thoracic drainage bottle. Results In modified group, 11 cases （8.2%） had local dropsy of chest, and one or two thoracenteses were made to cure it. In contrast group, 42 cases （39.6%） had local dropsy of chest, one thoracentesis was made to cure it in 33 cases, many thoracenteses were made to cure it in 7 cases. There were 18 cases lasting fever more than a week in contrast group. Conclusion The rates of dropsy of chest has a significance difference in this two groups（ P 〈 0. 01 ）. The modifided thoracic drainage tube was better than routine one.

关 键 词：胸腔引流管 外科手术 并发症 

分 类 号：R655[医药卫生—外科学]