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本文对使用细导管手法抽吸术治疗的自发性气胸病例进行回顾性分析,以评价其指征、优点及使用范围。50例中男33例,女17例。年龄18～73(平均40)岁。右侧气胸28例,左侧22例。肺萎缩程度自20%～90%。所有病例均有气急或/和胸痛。根据症状估计,气胸病程为数小时至7天。随访期限自1个月至7年。所有病例均用内导管(intracath)抽吸术作为气胸的最初治疗措施。用2%利多卡因局麻,以16号针头将通常作为静脓输液用的聚乙烯导管,从针头内孔插
This paper retrospectively analyzed the cases of spontaneous pneumothorax treated with thin-tube aspiration to evaluate its indications, advantages and application. Among 50 cases, there were 33 males and 17 females. Age 18 ~ 73 (average 40) years old. Right pneumothorax in 28 cases, left in 22 cases. Lung atrophy from 20% to 90%. All cases have shortness of breath or / and chest pain. According to the symptoms estimated, pneumothorax course of several hours to 7 days. Follow-up period from 1 month to 7 years. In all cases, intracath aspiration was used as initial treatment for pneumothorax. With 2% lidocaine local anesthesia, the 16th needle will usually be used as intravenous infusion of polyethylene catheter inserted from the needle hole