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目的探讨使用中心静脉导管胸腔间断抽气与传统粗硅胶管胸腔闭式引流治疗自发性气胸的临床疗效。方法对32例自发性气胸患者行中心静脉导管胸腔间断抽气,18例行传统粗硅胶管闭式引流,观察比较两组疗效及并发症。结果中心静脉导管胸腔间断抽气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。结论中心静脉导管胸腔间断抽气治疗自发性气胸疗效满意,并发症少,是值得临床推广。
Objective To investigate the clinical efficacy of intermittent aspiration of central venous catheter and closed drainage of traditional crude silicone tube in the treatment of spontaneous pneumothorax. Methods Thirty-two patients with spontaneous pneumothorax were treated with intermittent aspiration of central venous catheter and 18 patients with conventional closed silicone tube drainage. The curative effect and complications of the two groups were observed and compared. Results The central venous catheter thoracic intermittent aspiration and crude silicone tube closed thoracic drainage for the treatment of spontaneous pneumothorax similar effect, no significant difference; but the crude silicone tube closed thoracic drainage more complications. Conclusion Central venous catheterization of the thoracic cavity intermittent suction treatment of spontaneous pneumothorax with satisfactory results, fewer complications, is worthy of clinical promotion.