临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2009年
8期
1043-1044
,共2页
气胸%治疗
氣胸%治療
기흉%치료
the treatment%pneumothorax
目的 探讨浅静脉留置针在自发性气胸病人中的临床治疗价值.方法 气胸入院的病人先进行评估,对于体型较瘦,胸壁皮下脂肪少,胸大肌薄弱的病人采取浅静脉留置针做胸穿抽气,术后观察.结果 60例经此方法治疗的自发性气胸患者,一次抽气后,气胸消失的患者占85%(51/60),最多1例抽4次,占3%(2/60)需要做闭式引流.结论 浅静脉留置针在自发性气胸患者行胸腔穿刺抽气,具有创作小,抽气负压低,治疗效果好的特点.适宜应用于胸部皮下脂肪薄,胸大肌薄的病人,尤其是老年性COPD合并自发性气胸和肺结核患者合并自发性气胸,可在床边很轻松解决问题.
目的 探討淺靜脈留置針在自髮性氣胸病人中的臨床治療價值.方法 氣胸入院的病人先進行評估,對于體型較瘦,胸壁皮下脂肪少,胸大肌薄弱的病人採取淺靜脈留置針做胸穿抽氣,術後觀察.結果 60例經此方法治療的自髮性氣胸患者,一次抽氣後,氣胸消失的患者佔85%(51/60),最多1例抽4次,佔3%(2/60)需要做閉式引流.結論 淺靜脈留置針在自髮性氣胸患者行胸腔穿刺抽氣,具有創作小,抽氣負壓低,治療效果好的特點.適宜應用于胸部皮下脂肪薄,胸大肌薄的病人,尤其是老年性COPD閤併自髮性氣胸和肺結覈患者閤併自髮性氣胸,可在床邊很輕鬆解決問題.
목적 탐토천정맥류치침재자발성기흉병인중적림상치료개치.방법 기흉입원적병인선진행평고,대우체형교수,흉벽피하지방소,흉대기박약적병인채취천정맥류치침주흉천추기,술후관찰.결과 60례경차방법치료적자발성기흉환자,일차추기후,기흉소실적환자점85%(51/60),최다1례추4차,점3%(2/60)수요주폐식인류.결론 천정맥류치침재자발성기흉환자행흉강천자추기,구유창작소,추기부압저,치료효과호적특점.괄의응용우흉부피하지방박,흉대기박적병인,우기시노년성COPD합병자발성기흉화폐결핵환자합병자발성기흉,가재상변흔경송해결문제.
Objective To explore the value of the shallow intravenous catheter system to the spontaneous pneumothorax patients in the clinical treatment. Methods First, the pneumothorax patients were assessed, showing leaner body and less subcutaneous fat chest wall as well as pectoralis major weak. Than, shallow intravenous catheter system was used for the chest pleural puncture. I picked out 60 cases that were treated under this method. Results Pneumothorax disappeared in 85% patients (51/60), and only 3 percent (2/60) needed closed drainage treatment. Conclusion The shallow intravenous catheter system has positive efficacy to those spontaneous pneumothorax patients who has the chest pleural puncture. This method is good for patients, especially the elderly COPD patients with spontaneous pneumothorax. It can help solve the problem easily.
