新型防损伤型胸腔穿刺置管设备治疗闭合性血气胸的实验研究  

A new type of anti-injury thoracic puncture and catheterization equipment in treating closure hemopneumothorax:an experimental study

作　　者：陈萌萌 张美清 庄聪文 杨杰 陈金兰 丁越玲 李毅 CHEN Mengmeng;ZHANG Meiqing;ZHUANG Congwen;YANG Jie;CHEN Jinlan;DING Yueling;LI Yi(Department of Cardiothoracic Surgery,No.900 Hospital of Joint Logistic Support Force of PLA,Fuzhou 350025,Fujian,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇〇医院心胸外科,福州350025

出　　处：《海军军医大学学报》2024年第7期900-904,共5页Academic Journal of Naval Medical University

基　　金：战创伤救治研究专项(2019Z13).

摘　　要：目的观察新型防损伤型胸腔穿刺置管设备治疗闭合性血气胸的效果。方法将4只健康成年比格犬随机分为两组(组1和组2),每组2只,采用交叉对照方法进行实验。两组比格犬建立血气胸模型后,组1比格犬左侧胸腔以传统胸腔闭式引流术治疗,右侧胸腔以新型防损伤型胸腔穿刺置管设备治疗;组2比格犬左侧胸腔以新型防损伤型胸腔穿刺置管设备治疗,右侧胸腔以传统胸腔闭式引流术治疗。治疗结束1个月后,将两组比格犬的实验方法互换。比较2种闭合性血气胸治疗方法的术中穿刺置管时间、胸管置管最大角度、术后切口炎症刺激情况、术后拔管时间及术后并发症。结果新型防损伤型胸腔穿刺置管设备对比传统胸腔闭式引流术在减少穿刺置管时间[(47.13±11.56)s vs(88.13±16.84)s,P=0.002]、调整胸管置管最大角度[(118.38±11.07)°vs(102.25±9.92)°,P=0.015]、减少切口炎症刺激、缩短术后拔管时间[(47.00±2.70)h vs(51.62±3.52)h,P=0.019]方面有一定优势。结论新型防损伤型胸腔穿刺置管设备治疗闭合性血气胸有一定的优势,适用于大批量伤员或战场伤病员的后送与急救。Objective To study the effect of a new type of anti-injury thoracic puncture and catheterization equipment in the treatment of closure hemopneumothorax.Methods Four healthy adult beagles were randomly divided into 2 groups:group 1 and group 2,with 2 beagles in each group,and the cross-control method was used to conduct the experiment.Two groups of beagles were used to establish hemopneumothorax models.In the group 1,the left thoracic cavities of beagles were treated with traditional closed thoracic drainage surgery,while the right thoracic cavities were treated with a new type of anti-injury thoracic puncture and catheterization equipment.In the group 2,the left thoracic cavities of beagles were treated with a new type of anti-injury thoracic puncture and catheterization equipment,while the right thoracic cavities were treated with traditional closed thoracic drainage surgery.After 1 month of treatment,the experimental methods of the 2 groups were exchanged.The intraoperative puncture and catheterization time,maximum angle of thoracic catheterization,postoperative incision inflammation stimulation,postoperative extubation time,and postoperative complications of the 2 methods were compared.Results Compared with the traditional closed thoracic drainage surgery,the new type of anti-injury thoracic puncture and catheterization equipment had obvious advantages in reducing the time of puncture and catheterization([47.13±11.56]s vs[88.13±16.84]s,P=0.002),adjusting the maximum angle of thoracic catheterization([118.38±11.07]°vs[102.25±9.92]°,P=0.015),reducing the inflammatory stimulation of incision,and shortening the postoperative extubation time([47.00±2.70]h vs[51.62±3.52]h,P=0.019).Conclusion The new type of anti-injury thoracic puncture and catheterization equipment has certain advantages in the treatment of closure hemopneumothorax,and is suitable for the evacuation and first aid of a large number of wounded or battlefield patients.

关 键 词：闭合性血气胸 胸腔闭式引流术 防损伤型胸腔穿刺 急救 

分 类 号：R655[医药卫生—外科学]