应用中号气管插管做改良胸腔闭式引流治疗气胸临床研究

摘要

目的：探讨应用中号气管插管做改良胸腔闭式引流治疗气胸的可行性及临床效果。方法：选取我院急诊科收治的气胸需经闭式引流治疗的患者50例作为观察组，应用中号硅胶气管插管作为引流导管进行闭式引流治疗；外科及内科同期收治的气胸需经闭式引流治疗的患者50例作为对照组，应用传统大口径胸腔引流导管进行闭式引流。观察两组治愈率、置管留置时间、切口愈合时间及并发症发生情况。结果：观察组总有效率为92．0％，对照组总有效率为80．0％，观察组总有效率显著高于对照组（ P＜0．05）。观察组不良反应发生率为4．0％，对照组不良反应发生率为20．0％，观察组不良反应发生率显著低于对照组（ P＜0．01）。观察组引流管留置时间、切口愈合时间和住院时间显著低于对照组（ P＜0．05）。结论：应用中号气管插管做改良胸腔闭式引流治疗气胸可以有效降低不良反应，缩短治疗时间，治疗效果较好。%Objective:To investigate the application of medium tracheal intubation in modifying closed drainage of thoracic cavity and study the feasibility and clinical effects of treatment of pneumothorax .Mteh-od:Selected 50 cases of pneumothorax in the emergency department as the observation group , used medium silicone intubation as drainage catheter for closed drainage treatment;50 cases of pneumothorax in surgical and internal medicine Department at the same period as control group , the application of traditional large bore chest drainage catheter for closed drainage .Observed cure rate ,indwelling catheter time , wound healing time and the incidence of complications .Result: The total effective rate was 92%and 80%in observation group and control group respectively , Total effective rate of observation group was significantly higher than that of control group ( P<0.05) .The incidence of adverse reaction in observation group and control group was 4%,and 20%, the adverse reaction in observation group was significantly lower than that of control group ( P<0.01) .The observation group drainage tube indwelling time , wound healing time and hospital stay were sig-nificantly lower than those of control group ( P<0.05) .Conclusion: The application of medium of tracheal intubation modified thoracic closed drainage treatment of pneumothorax can effectively reduce the adverse re -action,with shorten the period of treatment , good treatment effect.