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开放性气胸或张力性气胸经胸腔水封瓶闭式引流3周后仍溢出气体者称难治性气胸。近年来, 我们采用硝酸银治疗难治性气胸12例,取得了满意疗效。 资料与方法:本组12例均经胸部X线检查确诊为气胸。男9例,女3例;年龄23～67岁。开放性气胸7例,张力性气胸5例,其中3例为复发性。患侧肺被压缩均>50％以上,其中5例>90％。12例患者经胸腔水封瓶闭式引流3周后,引流瓶内仍有气泡溢出,考虑为胸膜破裂口未愈所致,故采用胸膜药物粘连术。术前肌注度冷丁50mg。取0.1％硝酸银液20ml通过胸腔闭式引流管注入,嘱反复转动体位,再在臀部垫上枕头稍向患侧偏斜后转动体位,使药液达肺上部。引流管保持通畅,观察有无
Open pneumothorax or tension of the thoracic water seal bottle closed drainage after 3 weeks is still overflowing gas, said refractory pneumothorax. In recent years, we use silver nitrate treatment of refractory pneumothorax in 12 cases, and achieved satisfactory results. Materials and Methods: The group of 12 patients were diagnosed by chest X-ray pneumothorax. 9 males and 3 females; aged 23 to 67 years old. Open pneumothorax in 7 cases, tension pneumothorax in 5 cases, of which 3 cases of recurrent. Ipsilateral lung compression were> 50%, of which 5 cases> 90%. Thirteen patients with closed drainage through the pleural seal water bottle after 3 weeks, there are still bubbles in the drainage bottle overflow, consider the pleural rupture caused by unhealed, so the use of pleural drug adhesion surgery. Preoperative intramuscular injection of cold Ding 50mg. Take 0.1% silver nitrate solution 20ml through the thoracic cavity closed drainage tube, told repeatedly rotating body position, and then in the buttocks pads on the affected side of the pillow after a slight rotation, so that liquid up to the upper lung. Drainage tube to maintain smooth, observe whether