胸膜粘连术在治疗复发性气胸时的应用

The Application of Pneumolysis in the Treatment of Relapse Pneumothorax

目的 探讨四环素治疗复发性气胸的实用价值。方法 把四环素溶液或滑石粉混悬液注入抽完气的胸膜腔内 ,向各个方向转动体位。结果 四环素组 76例患者均痊愈出院 ,随访的 6 0例中 6例复发 ,占 10 %。滑石粉组 40例 ,随访的 30例中 9例复发 ,占 30 %。结论 四环素溶液治疗复发性气胸是一种比较有效的治疗方法 ,操作简单 ,疗效好、副作用少。

Purpose To explore the practical value of tetracyclin solution in the treatment of relapse pneumothorax.Methods Injecting either tetracycline solution (TES group) or takum suspension (TAS group) into air-emptied paeura.Patient's body was then moved according to predetermined positions.Results All patients in the TES group (n=76) recovered. Among the 60 who had been followed in the study, only 6 (10%) recurred.In comparison, 20 out of the total 40 patients in the TAS group ran high fever.Among the 30 follow-up patients, 9 (30%) recurred.Conclusion The use of tetracycline solution in the treatment of relapse pneumothorax is a better method. It is easy to use, has a better treatment effect, fewer side effects and lower recurrence rate.