一次性输液管代替胸导管行闭式引流治疗自发性气胸

Spontaneous Pneumothorax Treated by Closed Drainage with Disposable Infusion Tube Instead of Thorax Catheter

【目的】探讨自发性气胸简单有效的治疗方法。【方法】98例气胸病人随机分为治疗组(A组)、粗管组(B组)、细管组(C组)。A组使用一次性输液管代替胸导管作闭式引流,B组使用传统的粗导管作闭式引流,C组使用一次性中心静脉导管作闭式引流,观察治愈率、置管时间、伤口愈合时间及管周疼痛、感染、皮下气肿、堵管等并发症发生情况。【结果】A组治愈率93.9%,B组治愈率97.0%,C组治愈率75.0%,前两组治愈率与置管时间无显著性差异(P>0.05),但均优于C组(P<0.05);A组并发症较B组少,且伤口易愈合(P<0.05),A组堵管机会少,优于C组(P<0.05)。【结论】一次性输液管作胸导管行胸腔闭式引流具有手术操作简单、取材方便、疗效可靠,并发症少的优点,是一种较理想的胸腔引流手段,值得推广。

[Objective]To explore a simple and effective means to treat Spontaniety Pneumothorax （SP）. [Methods]Ninety eight patients with SP were randomly assigned to three groups ： treated group（Group A） , thick pipe group（Group B） and thin pipe group（Group C）. Group A used disposable infusion tube instead of routine thorax catheter, Group B used traditional thick catheter , Group C used the disposable central vein catheter to make closed drainage. The cure rate.the remaining time of drainge,the healing time of the wound ,pain , infection , subcutaneous emphysema and catheter obstruction and other complications were observed. [Results]The cure rate of Group A was 93.9%, Group B was 97%, Group C was 75% . There was no remarkable difference on cure rate and the remaining time of drainage between Group A and B （ P 〉0. 05） ,and better than Group C （ P 〉0. 05） ;The complications of Group A were less than Group B , the wound was easier to heal（ P 〈0.05）. Tube in Group A was difficult to be blocked up and better than Group C （ P 〈0. 05） . [Conclusion]Having the advantages of simple operation, convience, reliability , less complications, this drainage with disposable infusion tube is worthy of being recommended for wider usage.