细导管排气减压治疗COPD并发气胸的效果分析  

An Analysis on Effect of Exhausting and Decompression with Thin Tube on COPD Complicated with Pneumothorax

作　　者：李明学[1] 王蕾 

机构地区：[1]云南省曲靖市第一人民医院,曲靖655099 [2]甘肃省庆阳市中医院皮肤科

出　　处：《数理医药学杂志》2015年第5期661-662,共2页Journal of Mathematical Medicine

摘　　要：目的：分析细导管排气减压治疗慢性肺阻塞性肺疾病（COPD）并发气胸的临床效果。方法：回顾性分析2012年7月-2014年7月在某院接受治疗的60例COPD并发气胸患者的临床资料。结果：插管减压24h内,观察组患者患肺复张率为26.67%,对照组为20.0%（P〉0.05）;5d内观察组患者患肺复张率显著低于对照组（P〈0.05）;观察组患者发生皮下水肿和引流失效比率明显高于对照组（P〈0.05）;对照组和观察组患者发生脱管的比率无显著差异（P〉0.05）。结论：细导管的治疗效果不及标准引流管,仅适合闭合性气胸的治疗。Objective：To analyze the clinical effect of exhausting and decompression with thin tube on chronic obstructive pulmonary diseases（COPD）complicated with pneumothorax.Methods：Retrospectively analyze the clinical data of 60 cases of patients with COPD complicated with pneumothorax who were received in some hospital during the period from July 2012 to July 2014.Results：During the 24 hours after intubation and compression,the re-expansion rate of the observation was 26.67%,and that of the control group was 20.0%（P〈0.05）,in the 5days,the re-expansion rate of the observation group was lower than that of the control group（P〈0.05）;the occurrence of cutaneous dropsy and the failure ratio of drainage in the observation group were all obviously higher than that of the control group（P〈0.05）,the occurrence of detachment of tube in both the control group and the observation group was not found to be obviously different（P〈0.05）.Conclusion：The effect of thin tube is inferior to that of standard drainage tube,it is only applicable for the treatment of closed pneumothorax.

关 键 词：慢性肺阻塞性肺疾病 气胸 标准引流管 细导管 排气减压 

分 类 号：R563[医药卫生—呼吸系统]