论文部分内容阅读
目的比较中心静脉导管与粗硅胶管胸腔闭式引流治疗新生儿气胸的临床疗效。方法 64例新生儿气胸患儿,按抽签分组方式分为对照组和观察组,各32例。对照组采用粗硅胶管进行胸腔闭式引流治疗,观察组采用中心静脉导管进行胸腔闭式引流治疗,观察临床效果。结果观察组患儿并发症发生率为6.25%,低于对照组的37.50%,差异有统计学意义(P<0.05)。观察组患儿撤离呼吸机时间、伤口愈合时间、拔引流管时间均短于对照组,差异有统计学意义(P<0.05)。观察组患儿出血量、操作时间、肺复张时间均优于对照组,差异有统计学意义(P<0.05)。结论中心静脉导管胸腔闭式引流治疗新生儿气胸患儿效果优于粗硅胶管胸腔闭式引流,且安全性更高,值得新生儿科临床推广。
Objective To compare the clinical effects of central venous catheter and crude silicone tube thoracic drainage on neonatal pneumothorax. Methods Sixty-four neonates with pneumothorax were divided into control group and observation group according to the way of lottery. Each group had 32 cases. The control group was treated with thick silicone tube for closed thoracic drainage. The observation group received central venous catheter for closed thoracic drainage, and the clinical effect was observed. Results The incidence of complications in observation group was 6.25%, which was lower than that in control group (37.50%), the difference was statistically significant (P <0.05). The observation group patients with evacuation time, wound healing time, pulling the drainage tube were shorter than the control group, the difference was statistically significant (P <0.05). The observation group bleeding, operation time, lung recruitment time were better than the control group, the difference was statistically significant (P <0.05). Conclusion Central venous catheter thoracic drainage is superior to thoracic closed drainage of crude silicone tube in the treatment of neonatal pneumothorax and is more safe and worthy of clinical promotion in neonatology.