中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
1期
32-33,36
,共3页
李海明%张华茹%赵兵%刘丘岗
李海明%張華茹%趙兵%劉丘崗
리해명%장화여%조병%류구강
胸腔积液%中心静脉导管胸腔内置管术%气胸
胸腔積液%中心靜脈導管胸腔內置管術%氣胸
흉강적액%중심정맥도관흉강내치관술%기흉
Pleural effusion%Central venous catheterization%Pneumothorax
目的 探讨中心静脉导管胸腔内置管术进行胸腔积液引流排液与肺癌癌性胸腔积液发生气胸之间的关系.方法 选择同期住院肺癌癌性胸腔积液患者182例,结核性胸膜炎患者188例,两组患者均做中心静脉导管胸腔内置管术进行胸腔积液引流,胸腔积液引流前后进行胸部X线检查,观察有无气胸.结果 肺癌癌性胸腔积液患者182例,发生气胸17例,占9.34%;结核性胸膜炎患者188例,发生气胸2例,占1.06%.将两组患者的性别、年龄及气胸发生情况进行Logistic回归分析,结果显示疾病种类与气胸的发生有关,其中肺癌癌性胸腔积液组相对于结核性胸膜炎组,OR=0.089,P<0.05,95%置信区间为(0.011,0.854).结论 肺癌癌性胸腔积液相对于结核性胸膜炎所致的胸腔积液在中心静脉导管胸腔内置管术进行胸腔积液引流排液过程中发生气胸的危险性更大,其可能原因为肺癌癌性胸腔积液在原有病理改变基础上胸腔积液排出使得肺表面失去支撑保护和(或)胸腔内压降低而导致气胸.
目的 探討中心靜脈導管胸腔內置管術進行胸腔積液引流排液與肺癌癌性胸腔積液髮生氣胸之間的關繫.方法 選擇同期住院肺癌癌性胸腔積液患者182例,結覈性胸膜炎患者188例,兩組患者均做中心靜脈導管胸腔內置管術進行胸腔積液引流,胸腔積液引流前後進行胸部X線檢查,觀察有無氣胸.結果 肺癌癌性胸腔積液患者182例,髮生氣胸17例,佔9.34%;結覈性胸膜炎患者188例,髮生氣胸2例,佔1.06%.將兩組患者的性彆、年齡及氣胸髮生情況進行Logistic迴歸分析,結果顯示疾病種類與氣胸的髮生有關,其中肺癌癌性胸腔積液組相對于結覈性胸膜炎組,OR=0.089,P<0.05,95%置信區間為(0.011,0.854).結論 肺癌癌性胸腔積液相對于結覈性胸膜炎所緻的胸腔積液在中心靜脈導管胸腔內置管術進行胸腔積液引流排液過程中髮生氣胸的危險性更大,其可能原因為肺癌癌性胸腔積液在原有病理改變基礎上胸腔積液排齣使得肺錶麵失去支撐保護和(或)胸腔內壓降低而導緻氣胸.
목적 탐토중심정맥도관흉강내치관술진행흉강적액인류배액여폐암암성흉강적액발생기흉지간적관계.방법 선택동기주원폐암암성흉강적액환자182례,결핵성흉막염환자188례,량조환자균주중심정맥도관흉강내치관술진행흉강적액인류,흉강적액인류전후진행흉부X선검사,관찰유무기흉.결과 폐암암성흉강적액환자182례,발생기흉17례,점9.34%;결핵성흉막염환자188례,발생기흉2례,점1.06%.장량조환자적성별、년령급기흉발생정황진행Logistic회귀분석,결과현시질병충류여기흉적발생유관,기중폐암암성흉강적액조상대우결핵성흉막염조,OR=0.089,P<0.05,95%치신구간위(0.011,0.854).결론 폐암암성흉강적액상대우결핵성흉막염소치적흉강적액재중심정맥도관흉강내치관술진행흉강적액인류배액과정중발생기흉적위험성경대,기가능원인위폐암암성흉강적액재원유병리개변기출상흉강적액배출사득폐표면실거지탱보호화(혹)흉강내압강저이도치기흉.
Objective To explore the relationship of occurrence of pneumothorax between the pleural effusion and malignant pleura[ effusion from lung cancer. Methods One hundred and eighty-two cases of malignant pleura] effusion from lung cancer were selected as group one and 188 cases of tubereulous pleural effusion were selected as group two at the same time in the hospital, then central venous catheterization were clone in the two groups to drain the pleural effusion. X -ray was taken to observe whether the pneumothorax occurs or not before and after the drainage. Results Pneumotberax occurred in 17 cases of 182 malignant pleural effusion from lung cancer, 9.34 percent, and occurred in 2 cases of 188 cases of tuberculous pleura] effusion, 1.06 percent. According to sex, age and the occurrence of pneumothorax, logistic regression analysis was taken in the two groups. The results showed that the occurrence of pneumothorax was related to the disease category. The ratio of the two groups OR value was 0. 089, P < 0.05, 95% confidence interval was (0.011,0.854). Conclusions Malignant pleural effusion from lung cancer has more dangerous in the occurrence of pneumothorax during the course of puncture compared with the other pleural effusion. The reasonable explanation may be that in the basis of original lesion, the loss of protection and (or) the reduce of the intrathoracic pressure caused pneumothorax after the pleural effusion were drained.
