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目的评价中心静脉导管行胸腔闭式引流治疗ICU中突发气胸的临床疗效。方法 64例自发性气胸患者,随机将其分为实验组和对照组,各32例。实验组采用中心静脉导管行胸腔闭式引流治疗,对照组采用硅胶管行胸腔闭式引流治疗。对比两组疗效、闭式引流并发症、气胸闭合时间、症状缓解时间、带管时间及住院时间,以此评估其疗效。结果实验组治疗有效率、症状缓解时间、气胸闭合时间、带管时间以及住院时间与对照组比较差异无统计学意义(P>0.05);但实验组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论中心静脉导管行胸腔闭式引流治疗ICU中突发气胸的临床疗效好,并发症发生率低,有临床应用价值。
Objective To evaluate the clinical efficacy of central venous catheter in the treatment of sudden pneumothorax in ICU with closed thoracic drainage. Methods 64 patients with spontaneous pneumothorax were randomly divided into experimental group and control group, 32 cases in each. In the experimental group, the central venous catheter was used for closed thoracic drainage and the control group was treated with silicone tube for closed thoracic drainage. The curative effects were compared between two groups of curative effects, complications of closed drainage, closure time of pneumothorax, time of symptom relief, time of tube insertion and hospital stay. Results There was no significant difference between the experimental group and the control group (P> 0.05). However, the incidence of complications in the experimental group was significantly lower than that in the control group There was statistical significance (P <0.05). Conclusion Central venous catheter in closed thoracic drainage for treatment of sudden pneumothorax in the ICU has good clinical curative effect, low complication rate and clinical value.