老年肺癌合并肝硬化患者术后胸腔闭式引流的应用  

Safety and efficacy of postoperative thoracic drainage in elderly lung cancer patients with cirrhosis

作　　者：方呈祥[1] 刘海燕[2] 黄强[3] 

机构地区：[1]湖北民族学院附属民大医院肿瘤科,恩施445000 [2]湖北民族学院附属民大医院放射科,恩施445000 [3]湖北民族学院附属民大医院肝胆外科,恩施445000

出　　处：《中国肿瘤临床与康复》2015年第7期802-804,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨老年肺癌合并肝硬化患者术后胸腔闭式引流在临床诊治中的应用。方法选取2010年1月至2013年4月间收治的72例老年肺癌合并肝硬化患者为研究对象,均接受手术治疗,采用随机数字表法随机分为对照组和观察组,对照组35例,观察组37例,对照组患者予以术后一般处理,观察组患者在对照组基础上加用胸腔闭式引流,观察两组患者在临床效果方面的差异。结果对照组引流总有效率为77.1%,观察组引流总有效率为100.0%;对照组并发症发生率为45.7%,观察组并发症发生率为5.4%,差异有统计学意义(P<0.05)。两组患者肝肾功能损害以及血红蛋白、白细胞计数间差异有统计学意义(P<0.05)。结论老年肺癌合并肝硬化患者术后胸腔闭式引流可降低术后并发症的发生,提高临床效果。Objective To investigate the safety and efficacy of postoperative thoracic drainage in elderly lung cancer patients with cirrhosis. Methods From January 2010 to April 2013, 72 cases of lung cancer in elderly patients with cirrhosis were enrolled in the study and were divided into two groups： control group （n = 35 ） and observation group （n = 37）. The control group received general treatment and the obser- vation group accepted general treatment and pleural closed drainage. The effect of the two groups were com- pared. Results The total effective rate of the control group was 77. 1% and the total effective rate of the ob- servation group was 100. 0% ; The complication rate in the control group was 45. 7% and the complication rate in the observation group was 5.4%. And the liver and kidney dysfunction and hemoglobin, white blood cell count between the two groups had significant difference （P 〈 0. 05 ）. Conclusion Thoracic drainage can re- duce postoperative complications in elderly lung cancer patients with cirrhosis and improve chnical results.

关 键 词：老年人 肺癌合并肝硬化 胸腔闭式引流 治疗结果 

分 类 号：R734.2[医药卫生—肿瘤]