应用引流管侧释放套管针治疗脓胸(附23例临床报道)

Implanting drainage tube which could be lavaged and was released by the side groove of thoracic trocar to treat empyema

目的观察应用改良胸腔套管针及可冲洗胸腔引流管治疗脓胸的疗效和安全性。方法23例脓胸患者应用引流管侧释放套管针,经胸壁胸腔内置入可冲洗胸腔引流管治疗脓胸。结果3周后,本疗法治愈率78%(18/23),有效率达91%(21/23),无明显不良反应。结论应用引流管侧释放套管针,胸腔内置入可冲洗胸腔引流管治疗脓胸是一种简单、安全、价廉和有效的方法。

Objective To evaluate the curative effect and safety of modified thoracic trocar and drainage tube which can be lavaged for empyema treatment. Methods All 23 cases with empyema accepted drainage tube which could be lavaged via chest wall and was released by the side groove of thoracic trocar to treat empyema. Results After 3 weeks, the cure rate was 78 % （ 18/23 ）, effective rate was 91% （ 21/23） ,there was no obvious side effect. Conclusion The method of treating empyema by implanting drainage tube which could be lavaged is simple, safe, cheap and effective.