国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
21期
3149-3151
,共3页
新生儿气胸%静脉留置针穿刺%胸腔闭式引流
新生兒氣胸%靜脈留置針穿刺%胸腔閉式引流
신생인기흉%정맥류치침천자%흉강폐식인류
Neonatal pneumothorax%Venously indwelling catheter%Closed thoracic drainage
目的 探讨采用静脉留置针穿刺胸腔闭式引流对新生儿气胸进行治疗的临床效果.方法 随机选取2013年4月至2015年1月期间我院收治的气胸新生儿44例,按照治疗方案的不同将其分为对照组和观察组,其中观察组患儿进行静脉留置针胸腔穿刺闭式引流,对照组患儿采用传统外科置管闭式引流进行治疗,对两组患儿治疗前后的影像学、血氧饱和度、临床表现变化进行观察记录.结果 两组患儿治疗结束时,其血氧分压[(68.2±8.9)mmHg,(66.5±9.2)mmHg)]、血二氧化碳分压[(34.7±1.9) mmHg,(34.5±2.1)mmHg)]相比并无明显差异(P＞0.05);观察组患儿的呼吸机使用时间[(4.3±1.1)d)]、诊断距治疗完成时间[(16.7±4.4) min]均明显短于对照组患儿[(6.4±1.7)d、(40.9±7.4) min],差异具有统计学意义(P＜0.05).结论 采用静脉留置针穿刺胸腔闭式引流术对新生儿气胸进行治疗,效果显著,可有效改善患儿的呼吸状况,且操作简便,便于实施,建议在临床进一步推广.
目的 探討採用靜脈留置針穿刺胸腔閉式引流對新生兒氣胸進行治療的臨床效果.方法 隨機選取2013年4月至2015年1月期間我院收治的氣胸新生兒44例,按照治療方案的不同將其分為對照組和觀察組,其中觀察組患兒進行靜脈留置針胸腔穿刺閉式引流,對照組患兒採用傳統外科置管閉式引流進行治療,對兩組患兒治療前後的影像學、血氧飽和度、臨床錶現變化進行觀察記錄.結果 兩組患兒治療結束時,其血氧分壓[(68.2±8.9)mmHg,(66.5±9.2)mmHg)]、血二氧化碳分壓[(34.7±1.9) mmHg,(34.5±2.1)mmHg)]相比併無明顯差異(P＞0.05);觀察組患兒的呼吸機使用時間[(4.3±1.1)d)]、診斷距治療完成時間[(16.7±4.4) min]均明顯短于對照組患兒[(6.4±1.7)d、(40.9±7.4) min],差異具有統計學意義(P＜0.05).結論 採用靜脈留置針穿刺胸腔閉式引流術對新生兒氣胸進行治療,效果顯著,可有效改善患兒的呼吸狀況,且操作簡便,便于實施,建議在臨床進一步推廣.
목적 탐토채용정맥류치침천자흉강폐식인류대신생인기흉진행치료적림상효과.방법 수궤선취2013년4월지2015년1월기간아원수치적기흉신생인44례,안조치료방안적불동장기분위대조조화관찰조,기중관찰조환인진행정맥류치침흉강천자폐식인류,대조조환인채용전통외과치관폐식인류진행치료,대량조환인치료전후적영상학、혈양포화도、림상표현변화진행관찰기록.결과 량조환인치료결속시,기혈양분압[(68.2±8.9)mmHg,(66.5±9.2)mmHg)]、혈이양화탄분압[(34.7±1.9) mmHg,(34.5±2.1)mmHg)]상비병무명현차이(P＞0.05);관찰조환인적호흡궤사용시간[(4.3±1.1)d)]、진단거치료완성시간[(16.7±4.4) min]균명현단우대조조환인[(6.4±1.7)d、(40.9±7.4) min],차이구유통계학의의(P＜0.05).결론 채용정맥류치침천자흉강폐식인류술대신생인기흉진행치료,효과현저,가유효개선환인적호흡상황,차조작간편,편우실시,건의재림상진일보추엄.
Objective To explore the clinical effect of closed thoracic drainage by venously indwelling catheter for neonatal pneumothorax.Methods 44 patients with neonatal pneumothorax admitted into our hospital from July, 2013 to February, 2015 were randomly selected and were divided into an observation group and a control group according to different treatment regimens.The observation group was treated with closed thoracic drainage by venously indwelling catheter and the control group with closed drainage by traditional surgical catheter.The changes in imaging, blood oxygen saturation,clinical manifestations of both groups before and after the treatment were observed and recorded.Results By the end of the treatment, there were no statistical differences in partial pressure of oxygen [(68.2±8.9) mmHg vs.(66.5±9.2) mmHg] and PCO2[(34.7±1.9) mmHg vs.(34.5±2.1) mmHg] between these two groups(P＞0.05);the respirator support time and the time from diagnosis to the end of the treatment were significantly shorter in the observation group than in the control group[(4.3±1.1) d vs.(6.4±1.7) d and (16.7±4.4) min vs.(40.9±7.4) min, P＜0.05].Conclusions Closed thoracic drainage by venously indwelling catheter neonatal pneumothorax is significantly effective, can effectively improve the patient's respiratory status, and is easy in operation and implementation, so it should be clinically generalized.
