中心静脉导管微创治疗自发性气胸的疗效观察  

Clinical observation of minimally invasive treatment of spontaneous pneumothorax with central venous catheter

作　　者：杨根龙[1] 杨武[1] 邹文雄 Yang Genlong;Yang Wu;Zou Wenxiong(Jiangxi Ji'an Central People's Hospital,Ji'an,Jiangxi,343000,China)

机构地区：[1]江西省吉安市中心人民医院,江西吉安343000

出　　处：《当代医学》2018年第24期57-59,共3页Contemporary Medicine

摘　　要：目的探讨中心静脉导管微创治疗自发性气胸的临床疗效。方法择取本院2006年7月~2017年5月期间收治的自发性气胸患者50例,根据患者的入院先后顺序划分为对照组和试验组,每组25例。试验组采用上海普益公司生产的16G规格的中心静脉导管完成置管抽气,或闭式接水瓶进行自发性气胸的治疗;对照组患者使用普通的粗硅胶引流管。比较两组方法治疗自发性气胸的疗效及并发症情况。结果试验组患者中治愈20例、好转4例、无效1例,治疗有效率为96.00%,对照组患者中治愈17例、好转8例、无效0例,治疗有效率为100.00%,两组比较差异无统计学意义;试验组中堵管1例、皮下气肿0例、伤口感染0例、胸膜反应0例,对照组中堵管1例、皮下气肿2例、伤口感染4例、胸膜反应0例,试验组患者的皮下气肿、胸膜反应和伤口感染例数均低于对照组,组间并发症比较差异有统计学意义(P<0.05)。结论中心静脉导管微创治疗气胸操作简单,便于掌握,相较于传统方法,治疗效果差异不大,且具有更高的安全性,创伤较小,临床未见严重的并发症,具有重要的临床意义,值得推广和应用。Objective To explore the clinical efficacy of minimally invasive treatment of spontaneous pneumothorax with central venous catheter.Methods 50 patients with spontaneous pneumothorax admitted from July 2006 to May 2017 were selected.According to the order of admission,the patients were divided into the control group and the experimental group,with 25 cases in each group.The experimental group used the 16G standard central venous catheter produced by Shanghai Puyi company to complete the tube pumping,or the closed water bottle for the treatment of spontaneous pneumothorax,and the patients in the control group were treated with common coarse silica gel drainage tube.Compare the efficacy and complications of two groups in the treatment of spontaneous pneumothorax.Results In the experimental group,20 cases were cured,4 cases were improved,1 cases were invalid,the effective rate was 96.00%.17 cases were cured,8 cases were improved and 0 cases were invalid in the control group.The effective rate was 100.00%and the two groups had no statistical significance.In the experimental group,1 cases,0 cases of subcutaneous emphysema,0 cases of wound infection and 0 cases of pleural reaction were found in the test group.In the control group,1 cases of plugging tube,2 cases of subcutaneous emphysema,4 cases of wound infection and 0 cases of pleural reaction,the number of subcutaneous emphysema,pleural reaction and wound infection in the experimental group were all lower than those in the control group,and there was a statistically significant difference between the groups(P<0.05).Conclusion The minimally invasive treatment of pneumothorax by the central venous catheter is simple and easy to master.Compared with the traditional method,the treatment effect has little difference,and it has higher safety,less trauma and no serious complications in clinical.It has important clinical significance.It is worth popularizing and applying.

关 键 词：自发性气胸 中心静脉导管 胸腔闭式引流 

分 类 号：R561.4[医药卫生—呼吸系统]