健康研究
健康研究
건강연구
HEALTH RESEARCH
2015年
1期
30-32
,共3页
胸腔穿刺%气腹针%并发症
胸腔穿刺%氣腹針%併髮癥
흉강천자%기복침%병발증
veress needle%pleural effusion%thoracentesis
目的：探讨气腹针用于单纯胸腔穿刺抽液的临床疗效。方法胸腔积液需行单纯胸腔穿刺抽液的131例患者随机分成3组，分别以普通针头（ A组）、静脉套管针（ B组）和气腹针（ C组）行穿刺抽液。结果131例患者共穿刺378次，平均每例患者穿刺2．88次。 C组的穿刺成功率显著高于A组和B组（均P＜0．05）；穿刺中止主要原因：A 组为医源性气胸（50．0％，6／12）和胸膜反应（25．0％，3／12），B 组为堵管（55．6％，5／9）和医源性气胸（33.3％，3／9），C组为胸膜反应（66．7％，2／3）；末次穿刺抽液后胸腔内残留积液深度：C组显著低于A组和B组（均P＜0．05）。结论应用气腹针行单纯性胸腔穿刺抽液，操作简单、方便，成功率高，并发症少。
目的：探討氣腹針用于單純胸腔穿刺抽液的臨床療效。方法胸腔積液需行單純胸腔穿刺抽液的131例患者隨機分成3組，分彆以普通針頭（ A組）、靜脈套管針（ B組）和氣腹針（ C組）行穿刺抽液。結果131例患者共穿刺378次，平均每例患者穿刺2．88次。 C組的穿刺成功率顯著高于A組和B組（均P＜0．05）；穿刺中止主要原因：A 組為醫源性氣胸（50．0％，6／12）和胸膜反應（25．0％，3／12），B 組為堵管（55．6％，5／9）和醫源性氣胸（33.3％，3／9），C組為胸膜反應（66．7％，2／3）；末次穿刺抽液後胸腔內殘留積液深度：C組顯著低于A組和B組（均P＜0．05）。結論應用氣腹針行單純性胸腔穿刺抽液，操作簡單、方便，成功率高，併髮癥少。
목적：탐토기복침용우단순흉강천자추액적림상료효。방법흉강적액수행단순흉강천자추액적131례환자수궤분성3조，분별이보통침두（ A조）、정맥투관침（ B조）화기복침（ C조）행천자추액。결과131례환자공천자378차，평균매례환자천자2．88차。 C조적천자성공솔현저고우A조화B조（균P＜0．05）；천자중지주요원인：A 조위의원성기흉（50．0％，6／12）화흉막반응（25．0％，3／12），B 조위도관（55．6％，5／9）화의원성기흉（33.3％，3／9），C조위흉막반응（66．7％，2／3）；말차천자추액후흉강내잔류적액심도：C조현저저우A조화B조（균P＜0．05）。결론응용기복침행단순성흉강천자추액，조작간단、방편，성공솔고，병발증소。
Objective To explore the clinical values of veress needle for thoracentesis .Method 131 Patients with pleural effusion were divided into three groups , namely, groug A, B, and C.The groups were then given different methods of thoracentesis .Group A were punctured with regular needle for clinical use;Group B were with trocar needle and Group C were with veress needle .Findings The successful ratio of puncture of Group C was significantly higher than those of Group A and Group B(all P<0.05).The residual effusion after the last time of puncture in Group C was significantly less than those of Group A and Group B(all P<0.05).Conclusion Thoracentesis by veress needle is convenient , operational, safe and practical .It is worthy of being recommend in clinical practice .
