中心静脉导管胸腔引流联合负压吸引在新生儿气胸的应用  

The application of chest drainage with central venous catheter combined with negative pressure suction in the treatment of neonatal pneumothorax

作　　者：刘佳[1] 王毅[2] 杨彦辉[2] 鄢毅[1] 

机构地区：[1]四川省内江市第一人民医院儿科,四川内江641000 [2]四川省内江市第一人民医院胸外科,四川内江641000

出　　处：《实用医院临床杂志》2017年第6期153-155,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨中心静脉导管胸腔引流联合负压吸引治疗新生儿气胸安全性、可行性及临床价值。方法回顾性分析2013年10月至2016年9月我院儿科收治的68例气胸患儿,按照随机数字表法分为试验组和对照组各34例,试验组采用中心静脉导管胸腔引流联合负压吸引方法,对照组单纯采用中心静脉导管胸腔引流方法,观察两组患者拔管时间、机械通气时间、24 h肺复张率、住院时间、引流相关并发症等相关指标。结果试验组的拔管时间、机械通气时间、住院时间均明显短于对照组,24 h肺复张率高于对照组,引流相关并发症明显低于对照组,差异均有统计学意义(P<0.05)。结论中心静脉导管胸腔引流联合负压吸引治疗新生儿气胸操作简单,能有效缩短引流及住院时间,减少引流相关并发症,有推广价值。Objective To investigate the safety, feasibility and clinical value of the chest drainage with central venous catheter combined with negative pressure suction in the treatment of neonatal pneumothorax. Methods Sixty-eight cases with neonatal pneumothorax in our hospital from October 2013 to September 2016 were retrospectively analyzed. They were randomly divided into experimental or control group,34 in each group. The central venous catheter drainage and negative pressure suction were adopted in the experimental group, while the control group was only treated with central venous catheter drainage. The extubation time, mechanical ventilation time,24 h pulmonary recovery rate, hospital stay, drainage related complications and other related indicators were compared between the two groups. Results The time of extubation, mechanical ventilation and hospitalization in the experimental group was significantly shorter than that in the control group （P 〈 0. 05）. In the experimental group, the rate of pulmonary recovery in 24 hours was higher than that of the control group （ P 〈 0. 05 ）. The drainage related complications in the experimental group were significantly lower than that in the control group （ P 〈 0. 05 ）. Conclusion The chest drainage with central venous catheter combined with negative pressure suction in the treatment of neonatal pneumothorax is relatively simple, which can effectively reduce the hospital stay and the drainage related complications. It may have a great promotion value of clinical application.

关 键 词：新生儿气胸 中心静脉导管 胸腔引流 负压吸引 

分 类 号：R561.4[医药卫生—呼吸系统] R722.2[医药卫生—内科学]