胸腔引流管的改进(附576例分析)

将 198 0年 3月～ 2 0 0 0年 3月收治的普通胸外科疾病患者随机分为两组 :改进组 32 1例 ,对照组 2 5 5例 ,关胸后分别施行改进的和常规的胸腔引流法。改进组的胸腔引流管长 6 0cm ,一端剪 2个侧孔 ,置于病变处 ,于肋膈角处又剪一侧孔 ,引出体外接引流瓶。改进组发现胸腔局灶积液 30例 (9.3% ) ,经 1～ 2次定位穿刺抽吸后消失。而对照组发现胸腔局灶性积液 10 8例 (4 2 .4 % ) ,其中 81例经一次定位穿刺抽吸后消失 ,2 7例多次定位穿刺抽吸后消失 ,4 6例病人发热持续一周以上。两组并发胸腔积液率有显著差异 (P <0 .0 1)。改进后的胸腔引流管优于常规引流管。

Improvement of the Thoracic Drainage Tube

cases of thoracic diseases during March 1980 and March 2003 were randomly divided into two groups, the improved group ( n =321) and the contrast group ( n =255). For the improved group, a thoracic drainage tube (TDT) of 60 cm was used after operation. Two sideholes were cut at 2.5 cm and 5cm respectively from one end, and put the end into the focussite. Cut another sidehole on TDT at the place where it reached the costophreric angle. Extend the tube outside the body to a drainage bottle. 30 cases(9.4%)had local pleural hydrops, but were cured after one or two times located puncture suction. For the contrast group, 108 cases (42.4%) had local pleural hydrops. 81 were cured after one time located puncture suction, and 27 cured after several times located puncture suction. 46 cases had a fever that lasted for more than 1 week. There was a significant difference ( P <0.01) between these two groups in the rate of local pleural hydrops. The improved TDT is better than the routine one.