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目的探讨自发性气胸的治疗方法。方法回顾性分析采取胸腔穿刺抽气及闭式引流2种方法治疗27例自发性气胸患者的临床资料。结果闭式引流方式治愈率和肺破口闭合时间均优于胸腔穿刺抽气方式,但胸腔穿刺抽气方式不良反应少,症状轻;闭式引流方式不良反应以疼痛、皮下气肿、发热等为主。结论自发性气胸的治疗可优先选择胸腔穿刺抽气方式,其次为闭式引流方式,但均能获得良好治疗效果。
Objective To investigate the treatment of spontaneous pneumothorax. Methods The clinical data of 27 patients with spontaneous pneumothorax were retrospectively analyzed by two methods of thoracentesis and closed drainage. Results The cure rate of closed drainage and the closure time of pulmonary breach were better than those of thoracentesis, but pleural puncture and aspiration were less adverse reactions and mild symptoms. The adverse reactions of closed drainage were pain, subcutaneous emphysema and fever Mainly. Conclusions The treatment of spontaneous pneumothorax may give priority to the thoracentesis aspiration method, followed by the closed drainage method, but both can achieve good therapeutic effect.