小口径导管在继发自发性气胸闭式引流中的疗效观察  

Observation of Small-bore Catheters in Thoracic Drainage for Secondary Spontaneous Pneumothorax

作　　者：林杰[1] 陈建永[1] 孙维生[1] 

机构地区：[1]广东省潮州市中心医院呼吸内科,521000

出　　处：《岭南急诊医学杂志》2012年第2期98-99,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:通过与传统胸腔引管引流的比较,观察小口径导管在继发性气胸引流中的疗效。方法:将继发性气胸患者238例随机分为治疗组(n=126)和对照组(n=112),分别应用小口径导管行微创胸腔置管引流和应用传统胸腔置管引流,比较两组引流失败率、置管时间和并发症。结果:两组引流失败率无明显差异(P>0.05),治疗组引流管留置时间和并发症均较对照组明显减少(P均<0.05)。结论:小口径导管胸引管可作为继发性气胸引流的一种安全、有效和微创的引流选择。Objective： To observe the clinical effect of drainage via small-bore catheters comparing to conventional chest tubes for secondary spontaneous pneumothorax. Methods： 238 patients with secondary spontaneous pneumothorax were randomly divided into the treatment group （n= 126） and the control group （n=112）, the patients in the treatment group and the control group were treated with small-bore catheters and conventional chest tubes respectively. The failure rate, the durations of drainage and the complications were compared between the two groups. Results： There was no significantly different in failure rate between the two groups （P〉0.05）. The durations of drainage and the complications were significantly less in the treatment group than those in the control group. Conclusion： The small-bore catheter drainage may be a safe, effective and minimally invasive choice for patients with secondary spontaneous pheumothorax.

关 键 词：继发性自发性气胸 小口径导管 胸腔引流 

分 类 号：R655[医药卫生—外科学]