改良胸腔冲洗液流速、夹管时限、冲洗频率对急性脓胸患者康复的影响  

The influence of acute pyothorax patients recovery for improved the chest flushing fluid velocity、clip pipe time limit、flushing frequency

作　　者：梁桂喜 苏建薇[1] 叶翠玲[1] 梁清梅[1] 苏二川[1] 

机构地区：[1]广东省中山市人民医院,广东中山528403

出　　处：《吉林医学》2016年第3期520-522,共3页Jilin Medical Journal

摘　　要：目的:探讨改良胸腔冲洗液流速、夹管时限、冲洗频率对急性脓胸患者康复的影响情况。方法:选取收治的急性脓胸患者120例临床资料,依据治疗方式不同进行分组,Ⅰ组15例、Ⅱ组15例、Ⅲ组15例、Ⅳ组15例、Ⅴ组15例、Ⅵ组15例、Ⅶ组15例、Ⅷ组15例。结果:Ⅲ组急性脓胸患者穿刺口渗液、胸内压增加、冲洗液停滞发生率、白细胞计数、胸腔引流量、留置胸管时间、术后抗生素应用时间均优于Ⅰ组、Ⅱ组、Ⅳ组、Ⅴ组、Ⅵ组、Ⅶ组、Ⅷ组,Ⅲ组急性脓胸患者治疗总有效率均高于Ⅰ组、Ⅱ组、Ⅳ组、Ⅴ组、Ⅵ组、Ⅶ组、Ⅷ组,P<0.05,差异均有统计学意义。结论:改良胸腔冲洗液流速60 gtt/min、夹管时限冲洗后夹管30 min、冲洗频率BID对于治疗急性脓胸患者有良好的效果,值得临床推广应用。Objective To approach influence of acute pyothorax patients recovery for improved the chest flushing fluid velocity、clip pipe time limit、flushing frequency. Method The clinical data of 120 cases of acute pyothorax patients was to be divided into eight groups,Ⅰ group 15 cases、Ⅱ group 15 cases、Ⅲ group 15 cases、Ⅳ group 15 cases、Ⅴ group 15 cases、Ⅵgroup 15 cases、Ⅶ group 15 cases、Ⅷ group 15 cases. Results The puncture drainage mouth、increased intrathoracic pressure、rinses incidence of stagnation、WBC、amount of thoracic cavity drainage、chest tube、antibiotic application time after operation ofⅢ group acute pyothorax patients were better than Ⅰgroup、Ⅱgroup、Ⅳgroups、Ⅴ group、Ⅵ group、Ⅶ group、Ⅷ group,the total effective treatment Ⅲ group acute pyothorax patients were higher than Ⅰ group、Ⅱ group、Ⅳ group、Ⅴ group、Ⅵ group、Ⅶgroup、Ⅷ group,the difference was statistically significant（ P〈0. 05）. Conclusion The acute pyothorax patients by improved the chest flushing fluid velocity 60 gtt/min、clip pipe time limit 30 min、flushing frequency BID have good result,which is to be used.

关 键 词：改良胸腔冲洗液流速 夹管时限 冲洗频率 急性脓胸 康复 影响 

分 类 号：R561.6[医药卫生—呼吸系统]