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粗管闭式引流联合胸腔内灌注自体血对难治性气胸的治疗价值
引用本文:沈查.粗管闭式引流联合胸腔内灌注自体血对难治性气胸的治疗价值[J].重庆医学,2012,41(14):1375-1376.
作者姓名:沈查
作者单位:重庆市璧山县中医院内二科,402760
摘    要:目的探讨粗管闭式引流联合胸腔内灌注自体血对难治性气胸的治疗价值。方法选择2005年5月至2011年1月该院收治的难治性气胸患者19例,回顾性分析其使用粗管闭式引流联合胸腔内灌注自体血治疗的临床资料。结果胸腔内灌注自体血后共治愈17例(89.5%),肺复张时间5h至7d,平均3.9d,2例经2次自体血灌注治疗仍未治愈。结论粗管闭式引流联合自体血胸腔内灌注对难治性气胸有较好的治疗效果,值得推广应用。

关 键 词:引流术  气胸  输血  自体  血液灌注  粗管闭式引流

Value of thoracic closed drainage of thick tube in combination with pleural infusion of autologous blood for treating refractory pneumothorax
Shen Cha.Value of thoracic closed drainage of thick tube in combination with pleural infusion of autologous blood for treating refractory pneumothorax[J].Chongqing Medical Journal,2012,41(14):1375-1376.
Authors:Shen Cha
Institution:Shen Cha(Second Department of Internal Medicine,Bishan Hospital of Traditional Chinese Medicine,Chongqing 402760,China)
Abstract:Objective To investigate the therapeutic value of the thoracic closed drainage of thick tube in combination with pleural infusion of autologous blood for treating refractory pneumothorax.Methods 19 cases of refractory pneumothorax in our hospital from May 2005 to January 2011 were performed the thoracic closed drainage of thick tube in combination with pleural infusion of autologous blood.The clinical data were retrospectively analyzed.Results After pleural infusion of autologous blood,17 cases(89.5%) were cured.The time of pulmonary re-expansion was from 5 h to 7 d(average 3.9 d).2 cases were not cured after twice pleural infusion of autologous blood.Conclusion The thoracic closed drainage of thick tube combined with pleural infusion of autologous blood has better curative effects for treating refractory pneumothorax,which is worthy of being popularized.
Keywords:drainage  pneumothorax  blood transfusion  autologous  hemoperfusion  thoracic closed drainage of thick tube
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