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目的探讨改良式胸腔置管引流法治疗尘肺并发气胸的效果。方法采用改良式胸腔置管引流方法并与传统方法进行比较。结果在2组间的年龄构成与病期、病情均无明显差异条件下,表明新法组患者局部切口愈合时间与置管时间[(5.60±0.86)d、(16.00±1.34)min]明显短于旧法组[(6.20±1.02)d、(45.00±2.36)min;P<0.05,0.01],新法组置管后需镇痛用药、雾吸排痰、负压吸引处理的人数比率(4.0%、26.0%、6.0%)明显低于旧法组(25.5%、61.7%、21.3%,P<0.01,0.05),新法组的皮下气肿、切口感染、肺部感染人数比率(0.0%、0.0%、6.0%)明显低于旧法组(19.1%、8.5%、23.4%,P<0.05),新法组肺复张时间(5.40±1.60)d明显短于旧法组(6.70±1.80)d(P<0.01),治愈率(98.0%)高于旧法组(80.9%,P<0.01);并且进一步分析了导致患者气胸复发的原因,认为与尘肺期别高、肺压缩面积大、继发呼吸道感染及营养不良有关。结论改良式胸腔置管引流法用于尘肺并发气胸的治疗效果好,值得推广。
Objective To explore the effect of modified thoracic tube drainage for pneumoconiosis complicated with pneumoconiosis. Methods A modified chest catheter drainage method was used and compared with the traditional method. Results There was no significant difference between age and disease stage of the two groups (P> 0.05). The results showed that the local wound healing time and catheterization time in the new treatment group were significantly shorter than those in the control group [(5.60 ± 0.86) d, (16.00 ± 1.34) min] In the new method group, the ratio of patients who needed analgesia after catheterization, foggy sputum absorption and negative pressure suctioning treatment (4.0%, 26.0%, P <0.05,0.01) was significantly lower than that of the old method group [(6.20 ± 1.02) d, (45.00 ± 2.36) %, 6.0%) were significantly lower than those in the old group (25.5%, 61.7%, 21.3%, P <0.01, 0.05). The rates of subcutaneous emphysema, incision infection and pulmonary infection in the new method group were 0.0%, 0.0% %) Was significantly lower than the old group (19.1%, 8.5%, 23.4%, P <0.05). The time of lung recruitment (5.40 ± 1.60) d in the new group was significantly shorter than that in the old group (6.70 ± 1.80) d , The cure rate (98.0%) was higher than the old method group (80.9%, P <0.01); and further analysis of the reasons leading to pneumothorax recurrence in patients with pneumoconiosis, lung resorption area, secondary respiratory tract infection and malnutrition related. Conclusion The modified thoracic tube drainage method for pneumoconiosis complicated with pneumothorax treatment is good, it is worth promoting.