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目的总结自发性气胸的临床表现,及时识别不典型病例及总结两种胸腔闭式引流治疗方式的优缺点。方法随机选取2006年5月～2010年5月行深静脉留置管胸腔闭式引流和传统硅胶管胸腔闭式引流治疗的自发性气胸患者各24例病例进行回顾性分析。结果绝大多数患者因胸痛、气急突然加重作为入院主诉。其中有2例误诊病例,误诊率4.2%。两组均在入院6h内经床边胸部摄片明确诊断为气胸。48例患者全部治愈出院。改良胸腔闭式引流肺复张率与传统胸腔闭式引流肺复张率差异无统计学意义(p>0.05)。但改良胸腔闭式引流切口感染及皮下气肿、切口疼痛等不良反应小。结论有胸闷气喘症状,应胸部X线片检查。不宜搬动者应床边摄片,避免延误病情。改良胸腔闭式引流能减轻患者痛苦,且肺复张成功率与传统硅胶管胸腔闭式引流相仿。
Objective To summarize the clinical manifestations of spontaneous pneumothorax and identify atypical cases in time, and to summarize the advantages and disadvantages of two methods of closed thoracic drainage. Methods A total of 24 patients with spontaneous pneumothorax were randomly selected from May 2006 to May 2010 with thoracic closed drainage of deep vein indwelling catheter and traditional silicone tube closed thoracic drainage. Results The vast majority of patients due to chest pain, sudden aggravation of urgency as admission complaint. Two cases were misdiagnosed, with a misdiagnosis rate of 4.2%. The two groups were diagnosed as pneumothorax 6 months after admission by bedside chest radiography. All 48 patients were cured and discharged. There was no significant difference between the modified pleural closed drainage pulmonary reabsorption rate and the traditional thoracic closed drainage pulmonary rectal expansion rate (p> 0.05). However, improved thoracic drainage and incision drainage subcutaneous emphysema, incision pain and other adverse reactions. Conclusion There are symptoms of chest tightness and asthma should be chest X-ray examination. Should not be moving bedside radiography should be to avoid delay the disease. Closed thoracic drainage can reduce the patient’s pain, and the success rate of pulmonary recanalization is similar to the traditional silicone tube thoracic drainage.