中心静脉导管胸腔闭式引流治疗COPD合并少量气胸的临床观察

Clinical Observation of Central Venous Catheter Closed Thoracic Drainage in the Treatment of COPD with Small Amount of Pneumothorax

目的:探讨应用中心静脉导管与传统粗硅胶管行胸腔闭式引流治疗COPD合并少量气胸的疗效及并发症。方法:46例COPD合并少量气胸患者随机分为两组。A组中心静脉导管胸腔置管闭式引流;B组传统粗硅胶管胸腔闭式引流;观察疗效及并发症。结果:A组与B组疗效相近,差异无统计学意义(P>0.05),但B组并发症多于A组(P<0.05)。结论:中心静脉导管胸腔闭式引流治疗COPD合并少量气胸疗效满意,且并发症少,值得临床推广。

Objective：To explore the curative effect and complications of central venous catheter and traditional rough silicone tube line the chest closed drainage for the treatment of COPD with small amounts of pneumothorax.Method：46 cases of COPD combined with small amount of pneumothorax were randomly divided into two groups.Group A was took central venous catheter pleural cavity catheter closed drainage.Group B was took traditional thick silicone tube line the chest closed drainage.The curative effect and complications were compared.Result：Group A and group B had similar curative effect,there was no statistically significant difference（P〉0.05）,but group B complications was less than that in group A（P〈0.05）.Conclusion：The curative effect of central venous catheter pleural closed drainage for COPD patients with small amount of pneumothorax is satisfied,and fewer complications,worthy of clinical promotion .