胸部手术后胸腔引流管的应用分析

Analysis of Thorax Drainage Tube after Thoracic Surgery

目的分析胸部手术后常规引流管与改进后的引流管的引流效果。方法将2002年6月-2008年8月收治的胸外科患者随机分为两组，改进组67例，对照组53例，关胸后分别施行改进的和常规的胸腔引流方法，改进组的胸腔引流管长约60cm，一端剪2个侧孔，置于病变处，于肋膈角处再剪一侧孔，引出体外接引流瓶。结果改进组发现胸腔局灶积液5例（7．5％），经1～2次定位穿刺抽吸后消失。而对照组发现胸腔局灶性积液21例（39．6％），其中16例经一次定位穿刺抽吸后消失，4例多次定位穿刺抽吸后消失，9例患者发热持续1周以上、结论两组并发胸腔积液率差别有高度显著性（P〈0．01）。

Objective To study the drainage results of the regular drainage tube and improved drainage tube after thoracic operation. Methods The patients suffering from thoracie disease were divided into two groups from June 2002 to August 2008, the modified group was 67 cases, the contrast group 53 cases, and these patients were inserted modified thoracic drainage tube or routine thoracic drainage tube. The modified thoracic drainage tube was about 60cm, and two lateral holes in its end, then put this end to lesion area, made another lateral hole and put the lateral hole to costophrenie angle, then made another end of thoracic drainage tube out of body to thoracic drainage bottle. Results In modified group, 5 cases （7.5%） had local dropsy of chest, and take thoracentesis 1 -2 times were made to cure it. In contrast group, 21 cases （39.6%） had local dropsy of chest, once thoracentesis was made to cure it in 16 cases; several thoracenteses were made to cure it in 4 cases, 9 cases of patients with persistent fever for more then 1 week. Conclusion The rates of dropsy of thorax has a significant difference in two groups （P 〈 0.01 ）. The modified thoracic drainage tube was better than routine thoracic drainage tube.