CAJ | 학술논문

目的：探究并分析中心静脉导管胸腔闭式引流与常规胸腔穿刺两种不同方法治疗自发性气胸的临床效果。方法：选取我院自2010年9月～2011年12月收治的自发气胸的典型患者60例,按照患者意愿分成A、B两组,每组30例患者。A组患者采用中心静脉导管胸腔闭式引流法治疗自发性气胸,即为试验组；B组患者采用常规胸腔穿刺法治疗自发性气胸,即为对照组。分别观察两组患者经不同治疗方式后的治疗情况、复发率以及并发症情况。结果：利用中心静脉导管胸腔闭式引流方法治疗此病与利用常规胸腔穿刺疗此病相比有效率高,引发血气胸、纵膈气肿的可能也明显降低,P<0.05,具有统计学意义。结论：中心静脉导管胸腔闭式引流对于治自发性气胸有更积极的影响,可减轻患者的痛苦,有效改善肺功能,值得临床推广。
목적：탐구병분석중심정맥도관흉강폐식인류여상규흉강천자량충불동방법치료자발성기흉적림상효과。방법：선취아원자2010년9월～2011년12월수치적자발기흉적전형환자60례,안조환자의원분성A、B량조,매조30례환자。A조환자채용중심정맥도관흉강폐식인류법치료자발성기흉,즉위시험조；B조환자채용상규흉강천자법치료자발성기흉,즉위대조조。분별관찰량조환자경불동치료방식후적치료정황、복발솔이급병발증정황。결과：이용중심정맥도관흉강폐식인류방법치료차병여이용상규흉강천자료차병상비유효솔고,인발혈기흉、종격기종적가능야명현강저,P<0.05,구유통계학의의。결론：중심정맥도관흉강폐식인류대우치자발성기흉유경적겁적영향,가감경환자적통고,유효개선폐공능,치득림상추엄。
Objective:To discuss and analyze the clinical effect of closed thoracic drainage by CVC and routine thorancentesis for treatment of spontaneous pneumothorax. Methods:60 spontaneous pneumothorax patients from September 2010 to December 2011 were divided according to the patients’ willings into A and B groups both with 30 cases. A group adopted closed thoracic drainage by CVC and B group adopted routine thorancentesis. Curative effect, recurrence rate and complications of both groups after treatment were observed. Results:A group had a higher effective rate than B group and it had a lower probability of occurrence of hemopneumothorax and pneumomediastinum, P<0.05, the difference was statistically significant. Conclusion:Closed thoracic drainage by CVC has a better effect for treatment of spontaneous pneumothorax, it can relieve the patients' pain, improve lung function, and it is worth of being popularized in clinical work.