中心静脉导管引流在肋骨骨折致迟发性血胸患者中的应用

Application of central venous catheter closed drainage in the treatment of patients with delayed hemothorax caused by multiply rib fracture

目的探讨中心静脉导管引流在胸部外伤多发肋骨骨折致迟发性血胸患者中应用的疗效。方法将60例肋骨骨折迟发性血胸患者随机分为两组，实验组30例采用中心静脉导管置管引流，对照组30例采用常规胸腔引流管行胸腔引流，观察两组患者的拔管时间、住院时间、疼痛程度（NRS疼痛数字评分法）、堵管例数、皮下气肿例数及引流管口感染例数。结果实验组拔管时间与对照组比较，差异未见统计学意义（P〉0.05），住院天数和疼痛评分和引流口感染例数明显少于对照组（P〈0.05）；堵管发生率和皮下气肿发生率比较，差异未见统计学意义（P〉0.05）。结论对多发肋骨骨折所致的迟发性血胸患者，采用中心静脉导管引流可缩短住院时间，减少疼痛，值得临床借鉴。

Objective To investigate the curative effect of central venous catheter closed drainage on patients with delayed hemothorax caused by multiply rib fracture. Methods Sixty cases of delayed hemothorax caused by multiply rib fracture were randomly divided into two groups： the experimental group （30 cases ） were treated with central venous catheter closed thoracic drainage, and the control group （30 cases） were given conventional thoracentesis. The pull out the tube time, average length of stay, pain score, the numbers of tube piugging, the numbers of pneumoderm and the numbers of infection at the tube of the two groups were observed. Results There was no significant difference in the pull out the tube time between the two groups （ P 〉 0. 05 ）. The average length of stay, the pain score and the in- fection numbers of drainage tube in the experimental group were less than those in the control group, the differences were significant （P 〈 0. 05 ）. There were no significant differences in the the numbers of tube piugging or the numbers of pneumoderm between the two groups （P 〉0. 05）. Conclusions In the pa- tients with delayed hemothorax caused by multiply rib fracture, the average length of stay can be reduced the pain can be reduced and by using the central venous catheter closed clinical reference. drainage , and it is worthy of