中心静脉导管胸腔引流治疗自发性气胸的临床分析

目的比较中心静脉导管与粗硅胶管行闭式引流治疗自发性气胸的疗效及并发症。方法25例自发性气胸患者行中心静脉导管闭式引流,28例行粗硅胶管闭式引流,观察疗效及并发症。结果中心静脉导管与粗硅胶管行胸腔闭式引流治疗自发性气胸疗效相近,无显著性差异;但粗硅胶管行胸腔闭式引流治疗并发症多。结论中心静脉导管行闭式引流治疗自发性气胸是一种痛苦小,并发症少,操作简单,舒适耐受的方法。

Clinical analysis of treating spontaneous pneumothorax through thoracic drainage of the central vein catheter

Objective To compare the curative effects and complications in treating the spontaneous pneumothorax of using thoracic closed drainage of central vein catheter and of using thick silica gel catheter.Methods Twenty-five cases of spontaneous pneumothorax had the thoracic closed drainage of the central vein catheter, while 28 cases in the same condition had the thoracic closed drainage of the thick silica gel catheter.Results Their curative effects were similar without obvious differences, but the thoracic closed drainage of the thick silica gel catheter had more complications.Conclusion The treatment of spontaneous pneumothorax through the thoracic closed drainage of the central vein catheter is satisfactory remedy with little side effect and fewer complications. It is simple to use and had comfortable tolerance.