中心静脉导管引流治疗首发单侧自发性气胸

Central venous catheter drainage in the treatment of first-episode unilateral spontaneous pneumothorax

目的探讨中心静脉引流与常规胸腔闭式引流治疗首发单侧自发性气胸的疗效与并发症。方法回顾2003～2010年我们收治的60例首发单侧自发性气胸患者，分为2组，治疗组32例行中心静脉导管引流治疗；对照组28例行常规胸管胸腔闭式引流治疗。比较两种方法的疗效与并发症。结果治疗组治愈率93．8％：对照组治愈率92．9％；两组比较疗效无显著差异（P〉0．05）；治疗组并发症发生率18．8％，对照组并发症发生率64．3％．两组比较有显著差异（P〈0．05）。结论中心静脉导管引流治疗首发单侧自发性气胸与常规胸管引流比较．具有并发症少、患者耐受性好、微创、符合美容等优点。

Objective To study the central venous catheter and conventional chest tube closed thoracic efficacy and complication in the treatment of first-episode unilateral spontaneous pneumothorax. Methods Review 2003-2010 years we treated 60 cases of first-episode unilateral spontaneous pneumothorax divided into two groups. The treatment group of 32 cases： central venous catheter in the treatment. The control group of 28 cases： conventional chest tube closed thoracic in the treatment. Efficacy and complications were compared between the two methods. Results The cure rate of the treatment group was 93.8% ;the cure rate of the control group was 92.9% ; the two groups had similar effect, with no significant differences （P 〉 0.05）. The incidence of complications in the treatment group was 18.8%; the incidence of complications in the control group was 64.3%. Comparing the two groups, there were significant dif- ferences （P 〈 0.05）. Conclusion Comparison of central venous catheter drainage in the treatment of first-episode unilat- eral spontaneous pneumothorax with conventional chest tube drainage,with fewer complications, patients were well tolerated, with the advantages of minimally invasive, beauty.