带针胸管法治疗创伤性血气胸的临床效果  

Clinical effect of thoracic catheter with trocar in the treatment of traumatic hemopneumothorax

作　　者：李勇强[1] LI Yong-qiang(the Second Affiliated Hospital of Xi'an Medical University, Xi'an 710038, China)

机构地区：[1]西安医学院第二附属医院

出　　处：《临床医学研究与实践》2019年第25期88-90,共3页Clinical Research and Practice

摘　　要：目的探讨带针胸管法治疗创伤性血气胸的临床效果。方法选取我院收治的66例创伤性血气胸患者为研究对象,根据治疗方式的不同将其分为对照组与观察组,各33例。对照组采用传统胸腔引流管行胸腔闭式引流术进行治疗,观察组采用一次性带针胸管行胸腔闭式引流术进行治疗。比较两组患者的临床效果。结果观察组患者的治愈率及治疗总有效率均高于对照组,但两组无显著差异(P>0.05)。观察组患者的置管完成时间、肺复张时间及引流时间均明显短于对照组,并发症总发生率明显低于对照组(P<0.05)。术后,两组患者VAS评分均降低,且观察组明显低于对照组(P<0.05)。术后1d,两组患者CRP水平均升高(P<0.05);术后3、5d,两组患者CRP水平逐渐降低(P<0.05);术后1、3、5d,观察组CRP水平均明显低于对照组(P<0.05)。结论带针胸管法治疗创伤性血气胸的效果显著,能够缩短置管完成时间、肺复张时间及引流时间,减少并发症的发生,并缓解患者疼痛,值得临床推广。Objective To explore the clinical effect of thoracic catheter with trocar in the treatment of traumatic hemopneumothorax. Methods Sixty-six patients with traumatic hemopneumothorax admitted in our hospital were selected as the research objects. According to the different methods of treatment, the patients were divided into control group and observation group, with 33 cases in each group. The control group was treated with closed thoracic drainage operation with traditional thoracic drainage tube, while the observation group was treated with closed thoracic drainage operation with disposable thoracic catheter with trocar. The clinical effects of the two groups were compared. Results The cure rate and total effective rate of treatment in the observation group were higher than those of the control group, but there were no significant differences between the two groups (P>0.05). The time of catheterization completion, pulmonary recruitment and drainage of the observation group were significantly shorter than those of the control group, and the total incidence of complications in the observation group was significantly lower than that of the control group (P<0.05). After operation, the scores of VAS in both groups decreased, and that in the observation group was significantly lower than the control group (P<0.05). At 1 d after operation, the levels of CRP in both groups increased (P<0.05);at 3 and 5 d after operation, the levels of CRP in both groups decreased gradually (P<0.05);at 1, 3, 5 d after operation, the levels of CRP in the observation group were significantly lower than those of the control group (P<0.05). Conclusion Thoracic catheter with trocar has a significant effect in the treatment of traumatic hemopneumothorax. It can shorten the time of catheterization completion, pulmonary recruitment and drainage, reduce the incidence of complications and relieve pain of patients, which is worthy of clinical promotion.

关 键 词：带针胸管法 创伤性血气胸 胸腔闭式引流 

分 类 号：R655[医药卫生—外科学]