负压胸腔引流在胸腔手术拔管后血气胸治疗中的效果与安全性分析  

Curative efficacy and safety of negative pressure thoracic drainage in the treatment of hemopneumothorax after thoracotomy

作　　者：朱小峰 吴崇学 徐鹤云[2] 倪旭鸣[2] ZHU Xiao-feng;WU Chong-xue;XU He-yun;NI Xu-ming(Department of Thoracic Surgery,The First People’s Hospital of Tongxiang,Tongxiang 314500;Department of Thoracic Surgery,Zhejiang Province People’s Hospital,Hangzhou 310014,China)

机构地区：[1]桐乡市第一人民医院胸外科,浙江桐乡314500 [2]浙江省人民医院胸外科,浙江杭州310014

出　　处：《健康研究》2019年第2期198-200,共3页Health Research

摘　　要：目的观察负压胸腔引流在胸腔手术患者血气胸治疗中的效果。方法回顾性分析胸腔手术拔管后血气胸患者86例,其中负压胸腔引流(观察组)52例、胸腔闭式引流(对照组)34例,比较两组患者的临床总有效率,肺复张时间、出血时间、漏气好转时间以及引流量及并发症情况。结果观察组临床有效率(98.08%)高于对照组(85.29%),并发症总发生率(5.77%)低于对照组(20.59%),差异均有统计学意义(P<0.05);观察组患者肺复张时间、出血时间以及漏气好转时间明显短于对照组,引流量多于对照组,差异均有统计学意义(P<0.05)。结论负压胸腔引流治疗胸腔手术拔管后血气胸能有效加快积液和气体排出,促进病情恢复,临床疗效高,安全性好。Objective To evaluate the efficacy of negative pressure chest drainage in the treatment of hemopneumothorax in patients having undergone thoracic surgery. Methods Firstly, the clinical data of 86 patients with pneumothorax after thoracotomy were retrospectively reviewed where 52 had been subjected to negative pressure chest drainage and chosen as the experimental group and 34 to closed thoracic drainage and chosen as the control group. The total clinical effective rate, lung recruitment time, bleeding time, air leak improvement time, and drainage and complications were compared between the two groups. Results The clinical effective rate of the experimental group (98.08%) was higher than that of the control (85.29%) and the total rate of incidence of complications (5.77%) was lower than that of the control (20.59%). The differences were statistically significant ( P <0.05). The lung recruitment time, bleeding time and air leakage improvement time of the experimental group were significantly shorter than those of the control group. The drainage volume was greater than that of the control group. The differences were statistically significant ( P <0.05). Conclusions Negative pressure thoracic drainage for thoracic surgery after extubation of hemopneumothorax can effectively accelerate the accumulation of fluid and gas, faciliate recovery, and induce desirable clinical efficacy and safety.

关 键 词：负压胸腔引流 胸腔手术 血气胸 疗效 

分 类 号：R561.4[医药卫生—呼吸系统]