延迟抽气对首次发作原发性自发性气胸治疗的影响  

作　　者：洪辉华[1] 陈瑜[1] 吕昕[1] 周林水[1] 王真[1] 

机构地区：[1]浙江中医药大学附属第一医院呼吸科,310006

出　　处：《浙江临床医学》2016年第1期51-52,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨不同时间抽气对原发性自发性气胸患者肺复张时间和抽气次数的影响并探寻合适的抽气治疗的时机。方法回顾性分析2007年1月至2013年12月原发性自发性气胸患者112例。按发病至抽气治疗时间分为1d、2d、3d、〉3d4组。比较各组的临床特点，肺复张时间和抽气次数。结果1d治疗纽22例，2d治疗组41例，3d治疗组30例，〉3d纽19例。1d组、2d组、3d纽和〉3d组患者肺复张时间分别为（4．59±2．08）d、（3．41±1．37）d，（2．56±1．65）d、（2．47±1．07）d，其中1d组和2d组与其他组两两比较差异有统计学意义（P〈0．05），抽气次数分别为（2．00±0．97）次、（1．68±0．81）次、（1．33±0．71）次、（1．15±0．37）次，其中〉3d组与各组比较差异有统计学意义（P〈0．05）。结论对于首次发作的原发性自发性气胸患者，延迟抽气可以减短肺复张所需的时间，减少抽气的次数，而3d可能是一个较好的延迟治疗时间点。Objective To study the effect of different time point of pleural drainage on management of primary spontaneous pneumothorax. Methods 112 spontaneous pneumothorax cases in Zhejiang TCM Hospital from January 1, 2007 to December 31 2013 were analyzed retrospectively. Patients with a first episode of primary spontaneous pneumothorax were considered eligible for inclusion if they were symptomatic （ chest pain, dyspnea ） and the pneumothorax size was greater than 20%.According to the time from onset to first time of air drainage, patients were divided into four groups： 1 day, 2 days, 3 days and more than 3 days. Clinical characteristics, lung re-expansion time and the times of air drainage of each group were compared. Results 112 patients met the inclusion criteria. 22 cases in ld group, 41 in 2d group, 30 in 3d group, 19 in〉3dgroup, clinical characteristics in each group were comparable. Re-expansion time of Group ld, 2d, 3d and〉3d were 4.59 ± 2.08d, 3.41 ± 1.37d, 2.56 ± 1.65d, 2.47 ± 1.07d respctively, Compared with other 3 groups, ld and 2d group both had statistically significant differences （P〈0.05） .Times of air drainage were 2.00 ± 0.97, 1.68 ± 0.81, 1.33 ± 0.71, 1.15 ± 0.37 respctively, 〉3d group had statistically significant differenc compared with other 3 groups （ P〈0.05 ） .Conclusion For the patients with first episode of primary spontaneous pneumothorax, delayed air drainage can shorten the time required for lung re-expansion, reducing the times of air drainage, and three days of delay may be a good time point.

关 键 词：原发性自发性气胸 延迟抽气 疗效 

分 类 号：R561.4[医药卫生—呼吸系统]