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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 |
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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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[1] |
张本厚,池萍,李昕,等.CT引导下经皮肝癌纳米刀治疗的麻醉管理病例报道及讨论[J].临床麻醉学杂志,2016,32(7):721-722.
|
[2] |
朱小东,曹和涛,苏海兵,等.原发性自发性气胸多层螺旋CT扫描胸部影像特征分析[J].临床放射学杂志,2017,36(9):1248-1252.
|
[3] |
崔美霞,贾玮.胸腔闭式引流术对原发性自发性气胸破口闭合的影响[J].天津医药,2015,43(6):659-662.
|
[4] |
刘培艳.自发性气胸行改良胸腔闭式引流术的护理分析[J].内蒙古中医药,2017,36(5):162-163.
|
[5] |
瞿香坤,荣令,田图磊,等.引流导管与中心静脉导管胸腔闭式引流术对老年COPD并发自发性气胸患者的疗效比较[J].安徽医学,2017,38(11):1464-1466.
|
[6] |
司凤霞.自发性气胸行胸腔闭式引流术70例术后逆行感染预防研究[J].中外医疗,2015,34(4):82-84.
|
[7] |
李显敏,余娴.CT引导下经皮肺穿刺并发症发生率及影响因素[J].中国老年学杂志,2016,36(18):4560-4562.
|
[8] |
姚优修.全机器人不停跳冠状动脉旁路移植术的麻醉管理进展[J].中国微创外科杂志,2015,15(8):744-748.
|
[9] |
黄煌,刘永熙,汪小丽,等.低剂量 CT扫描在新生儿气胸的应用价值[J].实用放射学杂志,2017,33(2):273-275.
|
[10] |
刘梦虓,余潇.单肺或双肺通气对人工气胸下行胸腹腔镜食管癌根治术患者肺内分流率及氧合的影响[J].第三军医大学学报,2016,38(24):2629-2633.
|
[11] |
王新.胸腔镜联合人工气胸行胸腺扩大切除术与常规胸腔镜手术的对比研究[J].中国微创外科杂志,2016,16(7):614-616.
|
[12] |
张远强,童华杰,杨金华,等.186例单孔胸腔镜手术治疗胸部疾病临床分析[J].重庆医学,2017,46(20):2800-2801.
|
[13] |
李廷坤,李长生,吕帅国.小潮气量快频率双肺通气辅以二氧化碳气胸用于胸腔镜食管癌根治术患者气道管理的效果[J].中华麻醉学杂志,2017,37(1):96-99.
|
[14] |
孙勇,杨敏,高剑波,等.CT引导下活检联合靶向治疗对肺部炎性病变的临床价值[J].临床放射学杂志,2016,35(1):135-137.
|
[15] |
胡廷保,孙伟,文卫平.Blue Line Ultra(R)气管套管使用不当致双侧气胸并发纵隔气肿二例[J].中华耳鼻咽喉头颈外科杂志,2016,51(12):937-938.
|
[16] |
刘敏.32例胸腔闭式引流术治疗自发性气胸的疗效观察[J].药物与人,2015,28(1):218.
|
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