应用高渗糖及滑石粉对预防自发性气胸术后复发的研究

Research on preventing the postoperative relapse of spontaneous pneumothorax applying hyperosmotic glucose and Talc

目的探讨自发性气胸术后应用不同药物与气胸复发的相关性。方法对235例自发性气胸病人,随机分类,在胸腔闭式引流管停止漏气后用三种方法治疗:(1)胸腔内不注入任何药物;(2)胸腔内注入高渗糖溶液;(3)胸腔内注入滑石粉悬浊夜。随访1-10年。结果使用高渗糖溶液冲洗胸腔对自发性气胸无明显预防作用,使用滑石粉悬浊液冲洗胸腔,对自发性气胸复发有明显预防作用。结论自发性气胸病人应用滑石粉悬浊液冲洗胸腔是预防气胸复发的有效方法。

Objective To investigate the relativity between pneumothorax relapse and different medicines applied after operation. Methods Divide 235cases of spontaneous pneumothorax into groups random and apply three treatments after drainge stops. (1) Inject no medicine into the chest.(2) Inject the hyperosmotic glucose solution. (3) Inject Talc . And visit hem subsequently for 1 to 10 years.Results There is no apparent preventive role in the second group to spontaneous pneumothrax while there is great role in the third group.Conclusion It is a effective method for the patient of spontaneous pneumonthorax to prevent postoperative relapse applying Talc.