Line pigtail catheter pleural closed drainage in emergency clinical application of spontaneous pneumothorax
-
摘要: 目的:通过对3种不同胸腔闭式引流术在治疗自发性气胸的疗效对比分析评价猪尾巴导管治疗自发性气胸的临床效果。方法:回顾性分析我院90例自发性气胸患者,根据不同手术方式分为3组,粗硅胶管组、中心静脉导管组及猪尾巴导管组。对3组疗效、并发症等方面进行比较分析。结果:猪尾巴导管组在肺复胀时间和肺复张成功率方面与硅胶管组比较差异无统计学意义,明显优于中心静脉导管组(P<0.05),堵管发生率显著低于单腔中心静脉导管组,差异具有统计学意义(P<0.05)。猪尾巴导管在并发症发生率较粗硅胶管组明显降低,拔管时间、住院时间较粗硅胶管组及中心静脉导管组明显缩短(P<0.05)。结论:猪尾巴导管行胸腔闭式引流治疗自发性气胸与传统硅胶管引流疗效相当,明显优于中心静脉导管,带管舒适度及并发症方面明显优于粗硅胶管,值得临床推广应用。Abstract: Objective:To analyze the three kinds of thoracic cavity closed drainage contrast analysis and evaluate the pigtail catheter line for treatment of spontaneous pneumothorax.Method:Retrospective analysis of 90 cases of spontaneous pneumothorax patients,who were divided into three groups according to different operation ways:thick group of silicone tube,central venous catheter and pigtail catheter group.The curative effect and complications in patients were analyzed.Result:There was no statistically significant difference for the lungs swelling time in Pigtail catheter group compared with silicone tube group,which is superior to central venous catheter group (P<0.05).The incidence of blocking pipe is significantly lower than central venous catheter group,which has statistically significant difference (P<0.05).Conclusion:Line pigtail catheter pleural closed drainage is superior to central venous catheter and traditional silicone tube drainage in the treatment of spontaneous pneumothorax,which may bring comfort and complications and are worthy of clinical popularization and application.
-
Key words:
- pigtail catheter /
- spontaneous pneumothorax /
- thoracic closed drainage
-
-
[1] Casali C,Stefani A,Ligabue G,et al.Role of blebs and bullae detected by high-resolution computed tomography and recurrent spontaneous pneumothorax[J].Ann Thorac Surg,2013,95(1):249-255.
[2] MacDuff A,Arnold A,Harvey J,et al.Management of spontaneous pneumothorax:British Thoracic Society pleural disease guideline 2010[J].Thorax,2010,65 Suppl 2:ii18-31.
[3] ArdòN P,Loizzi D,De Palma A,et al.Comparison of two surgical approaches for the treatment of primary spontaneous pneumothorax*[J].G Chir,2014,35(5-6):122-125.
[4] Zardo P,Busk H,kutschka I.Chest tubemanagement:state of theart[J].Curr Opin Anaesthesiol,2015,28(1):45-49.
[5] 魏树全,赵子文,钟维农,等.小口径导管胸腔引流治疗自发性气胸的疗效与患者耐受性分析[J].中华结核和呼吸杂志,2013,36(5):385-386.
[6] 郑常龙,符永玫,周伟雄,等.急诊使用中心静脉导管治疗原发性自发性气胸的疗效[J].实用医学杂志,2014,30(2):1909-1911.
[7] Chen C H,Liao W C,Liu Y H,et al.Secondary spontaneous pneumothorax:which associated conditions benefi t from pigtail catheter treatment?[J].Am J Emerg Med,2012,30(1):45-50.
[8] Chang S J,Ross S W,Kiefer D J,et al.Evaluation of 8.0-cm needle at the fourth anterior axillary line for needle chest decompression of tension pneumothorax[J].J Trauma Acute Care Surg,2014,76(4):1029-1034.
[9] Rivas de Andrés J J,Jiménez López M F,Molins López-RodóL,et al.Guidelines for the diagnosis and treatment of spontaneous pneumothorax[J].Arch Bronconeumol,2008,44(8):437-448.
[10] 苏乃伟,覃家锦,冯旭.两种胸腔闭式引流术治疗自发性气胸的临床研究[J].实用心脑肺血管病杂志,2012,20(3):532-533.
[11] Zeybek A,Kalemci S,GürünlüAlma O,et al.The effect of additional pleural procedures onto recurrence rates on the spontaneous pneumothorax surgery[J].Iran Red Crescent Med J,2013,15(2):136-141.
[12] 许文景,黄冬云,朱慕云,等.细管胸腔闭式引流治疗气胸的临床观察[J].临床肺科杂志,2010,15(5):634-635.
[13] 信晓燕,王丕,马福军,等.改良三腔水囊导管胸腔闭式引流术的临床效果[J].临床医学研究与实践,2016,1(7):80-81.
-
计量
- 文章访问数: 165
- PDF下载数: 22
- 施引文献: 0
下载: