一次性无菌胃导管治疗自发性气胸的疗效及并发症实证研究

An Empirical Study on the Efficacy and Complications of Spontaneous Pneumothorax Treated with Aseptic Gastric Catheter

目的观察使用一次性无菌胃导管行闭式引流术治疗自发性气胸的临床疗效及并发症发生情况。方法对36例单侧自发性气胸患者,在常规卧床休息、吸氧、治疗原发病的基础上,使用一次性无菌胃导管行胸腔闭式引流术治疗,观察治愈率、肺复张的时间、患者住院天数及并发症发生情况。结果 36例患者均痊愈出院,其中有1例因肺功能极差,联合胸腔注入高渗糖粘连及负压吸引治愈;最快肺复张且未复发24 h内,最慢肺复张且未复发8 d(除特例外),住院时间不超过10 d(除特例外),仅有2例出现管道稍微外滑、1例出现轻微皮下气肿,1例出现管腔阻塞,无任何患者伤口感染。结论采用一次性无菌胃导管行胸腔闭式引流术治疗自发性气胸临床疗效好,住院时间较短,并发症发生率较低,是一种相对安全有效、值得推广的方法。

Objective to observe the clinical effect and complications of the treatment of spontaneous pneumothorax by using disposable sterile gastric catheter with closed drainage. Methods 36 cases of unilateral spontaneous pneumothorax were treated by using a disposable sterile gastric catheter for thoracic closed drainage, and the time of the patient＇s hospitalization, the length of hospital stay and the complication were observed on the basis of routine bed rest, oxygen inhalation and treatment of the original disease. Results all the 36 patients were cured and discharged, among which 1 was cured by the combination of chest cavity injection of hyperosmolar adhesion and negative pressure attraction due to the extremely poor lung function. Within 24 hours, the fastest lung was re-opened without recurrence, the slowest lung was re-opened without recurrence for 8 days（with special exception）, and the hospitalization time was no more than 10 days（with special exception）. Only 2 patients had slight ductal slip, 1 had slight subcutaneous emphysema, 1 had lumen obstruction, and no patient had wound infection. Conclusion it is a relatively safe and effective method to treat spontaneous pneumothorax with a disposable sterile gastric catheter with closed thoracic drainage, which has a shorter hospitalization time and lower complication rate.