Effect analysis of four kinds of thoracic closed drainages used in emergency treatment for spontaneous pneumothorax
WU Xian1 XUE Xin-yu2 QIAO Xiao-xue3 GAO Peng1▲
1.Department of Emergency,Hongqi Hospital Affiliated to Mudanjiang Medical College,Heilongjiang Province,Mudanjiang 157000,China;2.Third Department of Internal Circulation,the Second People′s Hospital of Mudanjiang City,Heilongjiang Province,Mudanjiang 157000,China;3.Pharmacy Intravenous Admixture Service,Hongqi Hospital Affiliated to Mudanjiang Medical College,Heilongjiang Province,Mudanjiang 157000,China
Abstract：Objective To analyze the efficacy of four common thoracic closed drainages for emergency treatment of spontaneous pneumothorax.Methods A total of 80 patients with spontaneous pneumothorax in our hospital were enrolled from August 2016 to August 2017.They were divided according to different treatment method.They were treated with thoracic closed drainage,puncture catheterization with fine tube,minimal invasion of thoracic catheter drainage,and minimal invasion of thoracic catheter connecting with negative pressure drainage in the clinic,20 cases in each group.The total therapeutic effectiveness rate,treatment time,and incidence of complications such as wound pain,and subcutaneous emphysema were analyzed in different groups.Results There was no significant difference in the total effectiveness rate or treatment time among the four groups (P＞0.05).Among them,the treatment time and incidence of complications in group of minimal invasion of thoracic catheter connecting with negative pressure drainage were(3.51±1.13)d and 0.00%,which were much lower than those in the other three groups with statistical difference (P＜0.05）.Conclusion The clinical value of minimal invasion of thoracic catheter connecting with negative pressure drainage is remarkable for the treatment of spontaneous pneumothorax at advantages of simple operation and no complications occurred in clinical applicaiton.
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