中心静脉导管胸腔闭式引流微创治疗自发性气胸的临床研究  

CLINICAL STUDY ON TREATMENT OF SPONTANEOUS PNEUMOTHORAX WHICH UESD THORACIC CLOSE DRAINAGE BY THE CENTRAL VENOUS CATHETERS

作　　者：胡碧江[1] 严首春[1] 林道波[1] 

机构地区：[1]海南省人民医院急诊科,海口570311

出　　处：《现代预防医学》2010年第15期2972-2973,2976,共3页Modern Preventive Medicine

摘　　要：[目的]探讨中心静脉导管胸腔闭式引流微创治疗自发性气胸的临床疗效。[方法]采用中心静脉导管经皮穿刺置入胸腔后接水封瓶引流的微创胸腔闭式引流新方法,观察25例自发性气胸患者的治疗效果及并发症发生情况,并与同期20例运用传统普通硅胶管闭式引流的患者进行比较。[结果]23例采用微创胸腔闭式引流新方法的患者一次性穿刺引流成功,肺复张时间为48～96h,平均62h,2例无效,有效率达92%(23/25)。与传统方法比较,中心静脉导管微创胸腔闭式引流治疗自发性气胸的新方法具有操作方便、穿刺时间短、损伤小、伤口愈合快、患者不适感轻、耐受性好、并发症少、住院时间短、住院费用低等优点。[结论]中心静脉导管微创胸腔闭式引流治疗自发性气胸是一种简单、易掌握、经济、安全有效的微创新方法。[Objective] To discuss the clinical curative effect of spontaneous pneumothorax which uesd thoracic close drainage by the central venous catheters. [Methods] Used thoracic close drainage by the central venous catheters, observed the therapeutic effect and complication of 25 cases of spontaneous pneumonthorax, and compared the clinical curative effect of 20 the corresponding period spontaneous pneumothorax patients which uesd thoracic close drainage by the tranditional method. [Results] 23 cases were cured by one time drainage, the reexpansion time of lung was 48-96 hours, an average of 62 hours, two cases were ineffective, effective rate was 92%, compared with the tranditional method, spontaneous pneumothorax which uesd thoracic close drainage by the central venous catheters was a method that was simple, easy to control, safe and effective, less trauma and compications hut better tolerance. [Conclusion] Spontaneous pneumothorax which uess thoracic close drainage by the central venous catheters is a method which is worthy to be popularized.

关 键 词：中心静脉导管 微创闭式引流 自发性气胸 

分 类 号：R561.4[医药卫生—呼吸系统]