多侧孔单腔中心静脉导管改良穿刺引流联合高渗葡萄糖、凝血酶胸腔内注射治疗自发性气胸  

The Therapy of Spontaneous Pneumothorax by Multi-side Hole Single Central Venous Catheter Improved Puncture Drainage Combined with Hypertonic Glucose and Thrombin Intrapleural Injection

作　　者：李绍华[1] 陈德俊[1] 林悦涛[1] 

机构地区：[1]普宁华侨医院,广东普宁515300

出　　处：《中国伤残医学》2013年第5期15-17,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:对探讨多侧孔单腔中心静脉导管改良穿刺引流联合高渗葡萄糖、凝血酶胸腔内注射在治疗自发性气胸中的疗效。方法:研究组采用多侧孔单腔中心静脉导管于患侧腋前线第3～4肋间胸腔置管引流后注入高渗葡萄糖、凝血酶,观察注药后治愈及并发症。对照组为单纯无侧孔单腔中心静脉导管于患侧锁骨中线第2肋间胸腔置管引流。结果:研究组有效率94.9%,对照组为51.2%;平均住院天数研究组10.23±1.88天,对照组为13.21±2.20天,堵管等并发症研究组较对照组少。结论:本方法安全、依从性高、经济实惠、易操作、疗效可靠,值得临床推广。Objective：To investigate the effect multi-side hole single central venous catheter improved puncture drainage combined with hypertonic glucose and thrombin intrapleural injection on the treatment of spontaneous pneumothorax. Methods： In study group, patients were treated by multi-side hole single central venous catheter improved puncture drainage combined with hypertonic glucose and thrombin intrapleural injection through line 3-4 intercostal. In control group, patients were treated by multi-side hole single central venous catheter puncture drainage through line 2 intercostal. Results： The effective rate of study group was 94.9% and the control group was 51.2%. The average hospitalized day was 10.23±1.88 d in study group and the control group was 13.21 ± 2.20d. The plugging complication in study group was less than control group. Conclusion： The method is safe, high compliance, affordable, easy to operate, effective and reliable. It is worth for generalization

关 键 词：多侧孔中心静脉导管 气胸 改良穿刺引流 高渗葡萄糖 凝血酶 

分 类 号：R681[医药卫生—骨科学]