自发性气胸闭式引流后胸腔大出血9例临床分析  

DIAGNOSIS AND TREATMENT OF THORACIC CAVITY HEMORRHOEA AFTER CLOSED DRAINAGE FOR SPONTANEOUS PNEUMOTHORAX

作　　者：李应军[1] 钟琪光 郝俊[1] 董功航[1] 

机构地区：[1]广东省深圳市沙井人民医院外一科,518104

出　　处：《中国煤炭工业医学杂志》2008年第2期153-154,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的了解自发性气胸闭式引流术后胸腔大出血的原因、发生机制及有效治疗方法。方法对我院2000年2月—2006年2月9例自发性气胸闭式引流术后胸腔大出血患者的出血情况、手术情况、治疗方法及结果进行分析。结果9例患者中6例开胸手术,3例另行引流,均治愈。结论出血原因为粘连带断裂出血,胸内负压值增大、出血量增大,再次引流辅以药物治疗能达到治愈目的。Objective To investigate the cause, development mechanism and utility treatment of thoracic cavity.hemorrhoea after the closed drainage for spontaneous pneumothorax. Methods 9 patients with thoracic cavity hemorrhoea after the closed drainage for spontaneous pneumothorax hospitalized from February of 2000 to February of 2006 were recruited, the haemorrhage,operation,curation and consequence of whom were analyzed. Results all the patients were cured, 2/3 of whom performed operation only, 1/3 did additional drainage. Conclusion The haemorrhage causes include breakage of adhering zone haemorrhage, underpressure of cavitas thoracis increasing. In this condition, additional drainage and drug treatment could cure the disease.

关 键 词：自发性气胸 闭式引流 大出血 胸膜 

分 类 号：R512.6[医药卫生—内科学] R561.4[医药卫生—临床医学]