静脉导管作胸腔闭式引流治疗严重心衰合并气胸15例体会  

Value of venous catheter in treatment in 15 patients with spontaneous pneumothorax combined with severe heart failure

作　　者：石成虎[1] 胡风涛[1] 常敏春 陈世雄[1] 

机构地区：[1]湖北省黄梅县人民医院心内科,湖北黄梅435500

出　　处：《中国现代医生》2012年第14期137-138,共2页China Modern Doctor

摘　　要：目的探讨以静脉导管作胸腔闭式引流管治疗合并严重心衰的自发性气胸患者的治疗效果及安全性。方法单纯气胸于患侧锁骨中线外侧第二肋间隙,液气胸经腋中线第七、八肋间,局灶性气胸依CT定位气体最多处,经皮微创穿刺的方法在胸腔内置入静脉导管作胸腔闭式引流,交通性气胸可考虑加用负压吸引。结果 15例患者均在一周肺复张,拔除导管后未复发。疗效与传统外科手术置管引流比较差异无统计学意义(P>0.05),并发症明显少于后者(P<0.05)。结论以静脉导管作胸腔闭式引流治疗严重心衰合并自发性气胸安全有效。Objective To analyze the effective and safety of treatment in patients with spontaneous pneumothorax combined with severe heart failure. Methods All of 15 patients with spontaneous pneumothorax combined with severe heart failure are treated with venous catheter. Negative pressure suction was possible been used in patients with unelosure pneumotho- rax. Results Lung reexpansion was achieved in all 15 patients in one week, and not recurred after catheters were removed. Compared with the traditional surgical treatment, there were not differences of efficacy （P〉0.05）, and the complication re- duced obviously （P 〈 0.05）. Conclusion It is safe and effective to use venous catheter in patients with spontaneous pneu- mothorax combined with severe heart failure.

关 键 词：静脉导管 胸腔闭式引流 自发性气胸 严重心衰 

分 类 号：R561.4[医药卫生—呼吸系统]