中心静脉导管胸腔闭式引流治疗特重度烧伤并发胸腔积液疗效观察  

Observation on the Clinical Efficacy of Thoracic Closed Drainage Using Central Venous Catheter in the Treatment of Extremely Severe Burns Complicated with Pleural Effusion

作　　者：黄成 Huang Cheng(Department of Burn and Plastic Surgery,Xiangtan Central Hospital,Xiangtan City,Hunan 411100,China)

机构地区：[1]湘潭市中心医院烧伤创疡整形科

出　　处：《中国烧伤创疡杂志》2019年第4期269-272,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的对比观察中心静脉导管胸腔闭式引流与胸膜腔穿刺术治疗特重度烧伤并发胸腔积液的临床疗效。方法按照随机数表法将2012年2月至2017年12月湘潭市中心医院烧伤创疡整形科收治的36例特重度烧伤并发胸腔积液患者随机分为试验组(18例)与对照组(18例),其中试验组患者采用中心静脉导管胸腔闭式引流治疗胸腔积液,对照组患者采用胸膜腔穿刺术治疗胸腔积液,对比观察两组患者的呼吸困难改善持续时间、引流量及胸腔积液消退时间。结果试验组患者的呼吸困难改善持续时间为(6.00±0.56)d、引流量为(856.28±236.24)mL/d、胸腔积液消退时间为(6.50±0.32)d,对照组患者的呼吸困难改善持续时间为(1.50±0.24)d、引流量为(478.62±125.82)mL/d、胸腔积液消退时间为(10.50±0.31)d,两组患者呼吸困难改善持续时间、引流量及胸腔积液消退时间对比,P均<0.05,差异具有统计学意义。结论中心静脉导管胸腔闭式引流治疗特重度烧伤并发胸腔积液,不仅可避免反复多次胸膜腔穿刺,减少相应并发症的发生,还可促进胸腔积液消退,缓解呼吸困难等症状,减轻患者痛苦,值得临床推广应用。Objective To compare the clinical efficacy of thoracic closed drainage using central venous catheter and thoracentesis in the treatment of extremely severe burns complicated with pleural effusion.Methods Thirty?six patients with extremely severe burns complicated with pleural effusion,admitted to the Department of Burn and Plastic Surgery,Xiangtan Central Hospital from February 2012 to December 2017 were divided,according to the random number table,into an experiment group(18 cases)and a control group(18 cases).The pleural effusion of patients in the experiment group were treated thoracic closed drainage using central venous catheter while in the control group the thoracentesis was given to treat the pleural effusion of patients.The time for respiration improvement,drainage volume,and fading time for pleural ef?fusion were respectively compared between the two groups.Results In the experiment group,the time for respiration im?provement was(6.00±0.56)d,the drainage volume was(856.28±236.24)mL/d,and the fading time for pleural effu?sion was(6.50±0.32)d.In contrast,the corresponding data in the control group were respectively(1.50±0.24)d,(478.62±125.82)mL/d and(10.50±0.31)d.The three items were respectively compared between the two groups and the results all showed statistically significant differences(P<0.05).Conclusion Thoracic closed drainage using central venous catheter in the treatment of extremely severe burns complicated with pleural effusion can not only avoid the repeated thoracentesis,reduce the occurrence of related complications,and also promote the fading away of pleural effusion and re?lieve the dyspnea and patients’suffering,deserving to be promoted in clinical practice.

关 键 词：中心静脉导管 胸腔闭式引流 胸膜腔穿刺术 特重度烧伤 胸腔积液 疗效 

分 类 号：R47[医药卫生—护理学]