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何飞,汝触会,陈爱凤,徐俭朴.细管留置延迟排气治疗稳定型原发性自发性气胸疗效分析[J].浙江中西医结合杂志,2019,29(8):
细管留置延迟排气治疗稳定型原发性自发性气胸疗效分析
Analysis of therapeutic effect of delayed air drainage with small-bore chest tube treatment for stable primary spontaneous pneumothorax
投稿时间:2019-04-01  修订日期:2019-06-03
DOI:
中文关键词:  原发性自发性气胸  延迟抽气  细管留置  
英文关键词:primary spontaneous pneumothorax  delayed air drainage  medicated serum  small-bore chest tube treatment
基金项目:
作者单位E-mail
何飞* 浙江省中西医结合医院 lung1024@163.com 
汝触会 浙江省中西医结合医院  
陈爱凤 浙江省中西医结合医院  
徐俭朴 浙江省中西医结合医院  
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中文摘要:
      目的 观察细管留置延迟排气治疗稳定型原发性自发性气胸的疗效。方法 筛选稳定型原发性自发性气胸患者共82例,随机分成观察组和对照组,每组各41例。对照组使用传统胸腔穿刺抽气方法,入院2小时内胸腔穿刺抽气;观察组在气胸发生72小时后行胸腔穿刺细管留置排气。比较两组患者肺有效复张时间、肺完全复张时间及临床治疗有效率。结果 观察组患者肺有效复张时间、肺完全复张时间均显著小于对照组(均P<0.01),观察组治疗有效率高于对照组,差异有统计学意义(P<0.05)。结论 对于稳定型原发性自发性气胸治疗采用细管留置延迟排气方法可有效缩短肺复张时间,具有更高的治疗有效率,值得临床推广。
英文摘要:
      Objective To observe the effect of delayed air drainage with small-bore chest tube treatment for stable primary spontaneous pneumothorax. Methods Eighty-two stable primary spontaneous pneumothorax patients were randomly divided into observation group and control group with forty-one cases in each group.Traditional treatment with thoracic puncture was used in control group in two hours after admission. Delayed air drainage with small-bore chest tube treatment was used in observation group after seventy-two hours when pneumothorax was happened. Clinical effective rate of treatment,lung effective re-expansion time and lung complete re-expansion time of each group were compared. Results Compared with control group, effective lung re-expansion time and complete lung re-expansion time were significantly shortened in observation group(P<0.01). Clinical effective rate of treatment was more superior in observation group than that in control group(P<0.05) .Conclusion Delayed air drainage with small-bore chest tube treatment for stable primary spontaneous pneumothorax could effectively shorten lung re-expansion time and increase effective rate of treatment,witch could be deserved the clinical expansion application.
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