气胸急诊处理及医院感染预防

Emergency Treatment and Infection Prevention of Pneumothorax

目的分析气胸的急诊处理及其医院感染的相关因素,提高气胸的治愈率。方法对40例气胸患者的临床资料,包括年龄、临床表现、急诊处理的选择等进行回顾性分析。结果经积极干预,气胸患者均恢复良好,仅有3例患者发生医院感染,年龄大、伴发慢性阻塞性肺部疾病(COPD)及糖尿病者易发生医院感染。结论早期闭式引流、及早开胸手术治疗和积极地抗感染治疗对于气胸的愈后至关重要。

： OBJECTIVE To improve the therapeutic efficacy by analyzing the emergency treatment and the infectious factors of pneumothorax. METHODS A retrospective analysis was carried out on the clinical materials, including age, clinical manifestation, and the therapeutic choice of emergency treatment. RESULTS All the patients got a good recovery by active surgical treatment except for 3 patients undergoing infection, who were above 60 years old with concomitant COPD or diabetes. CONCLUSIONS ItPs essential for a patient with pneumothorax to receive early close drainage, to be timely undertake open thoracotomy, and to acquire efficient antibiotic treatment as well.