论文部分内容阅读
[目的]探讨中心静脉导管胸腔闭式引流微创治疗自发性气胸的临床疗效。[方法]采用中心静脉导管经皮穿刺置入胸腔后接水封瓶引流的微创胸腔闭式引流新方法,观察25例自发性气胸患者的治疗效果及并发症发生情况,并与同期20例运用传统普通硅胶管闭式引流的患者进行比较。[结果]23例采用微创胸腔闭式引流新方法的患者一次性穿刺引流成功,肺复张时间为48～96h,平均62h,2例无效,有效率达92%(23/25)。与传统方法比较,中心静脉导管微创胸腔闭式引流治疗自发性气胸的新方法具有操作方便、穿刺时间短、损伤小、伤口愈合快、患者不适感轻、耐受性好、并发症少、住院时间短、住院费用低等优点。[结论]中心静脉导管微创胸腔闭式引流治疗自发性气胸是一种简单、易掌握、经济、安全有效的微创新方法。
[Objective] To investigate the clinical effect of minimally invasive central venous catheter thoracic drainage in the treatment of spontaneous pneumothorax. [Method] A minimally invasive thoracic closed drainage method of central venous catheter percutaneous puncture and water bottle sealing drainage was adopted. The therapeutic effect and complications of 25 patients with spontaneous pneumothorax were observed and compared with 20 cases of the same period The use of conventional silicone tube closed drainage compared to patients. [Results] Twenty-three patients who underwent minimally invasive thoracic drainage were successfully punctured and punctured at one time. The time of pulmonary expiration was 48-96 hours, with an average of 62 hours. Two cases were ineffective and the effective rate was 92% (23/25). Compared with the traditional method, the minimally invasive thoracic drainage by central venous catheter for the treatment of spontaneous pneumothorax has the advantages of convenient operation, short puncture time, small injury, quick wound healing, mild discomfort, good tolerance, few complications, Short hospital stay, hospitalization costs and other advantages. [Conclusion] Central venous catheter minimally invasive thoracic drainage for the treatment of spontaneous pneumothorax is a simple, easy to grasp, economical, safe and effective micro-innovative method.