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自发性气胸闭式引流后胸腔大出血9例临床分析
引用本文:李应军,钟琪光,郝俊,董功航.自发性气胸闭式引流后胸腔大出血9例临床分析[J].中国煤炭工业医学杂志,2008,11(2):153-154.
作者姓名:李应军  钟琪光  郝俊  董功航
作者单位:广东省深圳市沙井人民医院外一科,518104
摘    要:目的了解自发性气胸闭式引流术后胸腔大出血的原因、发生机制及有效治疗方法。方法对我院2000年2月-2006年2月9例自发性气胸闭式引流术后胸腔大出血患者的出血情况、手术情况、治疗方法及结果进行分析.结果9例患者中6例开胸手术,3例另行引流,均治惫.结论出血原因为粘连带断裂出血,胸内负压值增大、出血量增大。再次引流辅以药物治疗能达到治愈目的。

关 键 词:自发性气胸  闭式引流  大出血  胸膜  自发性  气胸  闭式引流  胸腔  大出血  临床分析  PNEUMOTHORAX  DRAINAGE  CLOSED  THORACIC  CAVITY  TREATMENT  药物治疗  出血量  负压值  断裂  粘连带  出血原因  治愈  开胸手术  结果
文章编号:1007-9564(2008)02-0153-02
收稿时间:2006-09-12
修稿时间:2007-05-04

DIAGNOSIS AND TREATMENT OF THORACIC CAVITY HEMORRHOEA AFIER CLOSED DRAINAGE FOR SPONTANEOUS PNEUMOTHORAX
Li Yingjun , Zhong Qiguang, Hao Jun ,et al..DIAGNOSIS AND TREATMENT OF THORACIC CAVITY HEMORRHOEA AFIER CLOSED DRAINAGE FOR SPONTANEOUS PNEUMOTHORAX[J].Chinese Journal of Coal Industry Medicine,2008,11(2):153-154.
Authors:Li Yingjun  Zhong Qiguang  Hao Jun  
Abstract:Objective To investigate the cause, development mechanism and utility treatment of thoracic cavity.hemorrhoea after the closed drainage for spontaneous pneumothorax. Methods 9 patients with thoracic cavity hemorrhoea after the closed drainage for spontaneous pneumothorax hospitalized from February of 2000 to February of 2006 were recruited, the haemorrhage,operation,curation and consequence of whom were analyzed. Results all the patients were cured, 2/3 of whom performed operation only, 1/3 did additional drainage. Conclusion The haemorrhage causes include breakage of adhering zone haemorrhage, underpressure of cavitas thoracis increasing. In this condition, additional drainage and drug treatment could cure the disease.
Keywords:spontaneous pneumothorax  closed drainage  hemorrhea  pleura
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