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目的:探究急诊科采用中心导管胸腔闭式引流对原发性自发性气胸的治疗效果。方法:选取本院2011年4月-2013年7月收治的76例原发性自发性气胸患者并随机的将其分为中心静脉导管接水封平闭式引流组(水封瓶组)与接负压瓶闭式引流组(负压瓶组),每组38例。对两组患者的治疗效果、平均住院时间以及平均治疗费用等情况进行比较。对电话随访24个月内的患者的并发症复发率进行比较。结果:两组患者在治疗有效率以及并发症发生率方面比较,差异无统计学意义(P>0.05);负压瓶组患者在肺复张时间以及平均住院时间方面都明显优于水封瓶组(P<0.05)。结论:在急诊科采用中心静脉导管闭式引流对原发性自发性气胸的治疗效果较好,负压瓶的治疗能够促使疗程明显缩短,使治疗费用明显降低。
Objective: To investigate the treatment of primary spontaneous pneumothorax in emergency department with central catheter thoracic closure drainage. Methods: A total of 76 patients with primary spontaneous pneumothorax admitted from April 2011 to July 2013 in our hospital were randomly divided into three groups: central venous catheter, water seal and closed drainage group Then negative pressure bottle closed drainage group (negative pressure bottle group), 38 cases in each group. The treatment effect, average length of stay and average cost of treatment were compared between the two groups. The complication recurrence rates of patients within 24 months of follow-up were compared. Results: There was no significant difference between the two groups in the treatment efficiency and the incidence of complications (P> 0.05). The negative pressure bottle group was significantly better than the water-sealed bottle in terms of pulmonary re-extension time and average length of stay Group (P <0.05). Conclusion: The treatment of primary spontaneous pneumothorax by central venous catheter drainage in the emergency department is better. The treatment of negative pressure bottle can significantly shorten the course of treatment and significantly reduce the treatment cost.