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目的通过观察在治疗气胸中的效果及并发症来评价细管及粗管闭式引流在气胸治疗中的应用价值。方法本研究共分两组,观察A组(即细管引流组)及对照B组(粗管引流组)。A组采用细管引流方式,B组采用传统胸腔闭式引流方式。在保证胸腔闭式引流通畅的前提下,胸管内24h无气体排出,复查胸部CT了解肺复张情况及肺本身病变情况。治疗期间记录引流有效率、并发症发生率如明显疼痛、切口感染或愈合不良、皮下气肿、复张性肺水肿以及带管时间(除外转行手术患者)等。结果两组患者有效率差异无统计学意义(P>0.05),并发症发生率差异有统计学意义(P<0.05)。结论细管胸腔闭式引流是一种较好的治疗气胸的方法,具有安全、有效等优点,值得推广。
Objective To evaluate the value of closed drainage of thin and thick tubes in the treatment of pneumothorax by observing the effects and complications in the treatment of pneumothorax. Methods This study was divided into two groups, group A (ie, thin drainage group) and control group B (crude drainage group). A group using thin tube drainage, B group using the traditional closed thoracic drainage. Under the premise of ensuring the closed drainage of the thoracic cavity, no gas is excreted in the thoracic tube for 24 hours. The chest CT is reviewed to find out the situation of lung recruitment and the lung itself. Drainage efficiency recorded during treatment, complications such as significant pain, incision infection or poor healing, subcutaneous emphysema, recurrent pulmonary edema and with tube time (excluding patients with transitional surgery) and so on. Results There was no significant difference in the effective rate between the two groups (P> 0.05). The incidence of complications was statistically significant (P <0.05). Conclusions Thoracic closed drainage of thoracic tube is a good method of treating pneumothorax, which is safe, effective and worth promoting.