中心静脉导管与改良式胸腔闭式引流治疗闭合性气胸的临床观察

中心静脉导管与改良式胸腔闭式引流治疗闭合性气胸的临床观察

张刚,闫涛,杨金国

(山东济南市第七人民医院胸外科，济阳 251400)

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-09-25

Clinical Observation of Central Venous Catheter and Modified Thoracic Closed Separately Drainage in the Treatment of Closed Pneumothorax

Zhang Gang,Yan Tao,Yang Jin-guo

(Department of Thoracic Surgery,the 7th People's Hospital of Ji'nan,Shandong Province,Jiyang 251400, China)

Received:1900-01-01 Revised:1900-01-01 Online:2016-09-25

摘要/Abstract

摘要： 【摘要】目的：研究中心静脉导管（central venous catheter，CVC）胸腔闭式引流（thoracic close drai nage，TCD）（CVCTCD）与改良胸腔闭式引流（Modified thoracic closed drainage，M-TCD）治疗闭合性气胸的临床疗效。方法：选取112例闭合性气胸住院患者，根据治疗方式的不同分为CVC-TCD 61例（中心组）和M-TCD 51例（改良组），并进行观察比较。结果：两组患者肺复张时间差异均无统计学意义（P＞0.05）；中心组患者术后疼通指数评分较改良组低，差异有统计学（P＜0.05）；中心组患者拔管时间、住院时间、住院费用均较改良组短，有统计学差异（P＜0.05）；中心组患者并发症发生较改良组少（P＜0.05）。结论：CVC-TCD与M-TCD在治疗自发性及外伤导致的闭合性气胸上具有同样的疗效，且CVC-TCD相对于M-TCD具有并发症少、带管和住院时间短、及花费少的优势。

Abstract: 【ABSTRACT】Objective: To study the effect of center venous catheter (central venous catheter CVC) closed thoracic drainage pleural (thoracic close drainage (TCD) CVC-TCD and meliorate closed drainage modified thoracic closed drainage M-TCD in treatment of closed pneumothorax.Methods:112 cases of hospitalized patients with closed pneumothorax,according to the different treatment methods were divided into CVC-TCD 61 cases (central group) and M-TCD 51 cases (improved group),and observed and compared.Results:Two groups of patients with pulmonary reexpansion time differences had no statistical significance (P＞0.05); central group of patients after pain score index than in the modified group,difference was statistically (P＜0.05); group extubation time,hospitalization time,cost of hospitalization were compared with modified group,there was statistically significant difference (P＜0.05); center groups of patients with complications occurred than in the modified group (P＜0.05).Conclusion:CVC-TCD and M-TCD in the treatment of spontaneous and trauma caused by closed pneumothorax has the same efficacy,and CVC-TCD relative to M-TCD with fewer complications,with tube nd shorter hospital stay,and less cost advantage.

张刚,闫涛,杨金国. 中心静脉导管与改良式胸腔闭式引流治疗闭合性气胸的临床观察[J]. .

Zhang Gang,Yan Tao,Yang Jin-guo. Clinical Observation of Central Venous Catheter and Modified Thoracic Closed Separately Drainage in the Treatment of Closed Pneumothorax[J]. .

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