新型“l”型胸引管在外伤性胸腔积液中的应用研究

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1、新型“L”型胸引管在外伤性胸腔积液中的应用研宄(遂宁市射洪县中医院四川遂宁629200)【摘要】目的：比较评价新型“L”型胸引管在外伤性胸腔积液的应用与传统胸腔闭式引流管行胸腔闭式引流术。方法：将77名外伤性胸腔积液患者随机分为两组，分别用“L”型胸引管与统胸腔闭式引流管行胸腔闭式引流术，分别比较。两组患者肺复张时间、胸腔积液无残留时间比较及术后胸部疼痛指数。结果：两组患者一般治疗差异无统计学意义(P<0.05);实验组在肺复张时间、胸腔积液无残留时间较对照组明显短，术后疼痛指数在肺复张时间、胸腔积液无残留时间较对照组明显短，术

2、后疼痛指数明显低。明显低。结论：新型“L”型胸引管在外伤性胸腔积液中的应用与传统胸腔闭式引流管行胸腔闭式引流术比较在肺复张时间、胸腔积液无残留时间较对照组明显短，术后疼痛指数明显低。【关键词】外伤性胸腔积液；胸腔闭式引流术；在肺复张时间；胸腔积液无残留时间较对照组；术后疼痛指数【中图分类号】R655【文献标识码】A【文章编号】1007-8231(2016)25-0026-02Thenew"「-typechesttubeinapplicationresearchoftraumaticeffusionHEChang-jiangDEN

3、GChun-junHospitalofshehongCounty,Suiningcity【Abstract】ObjectiveToevaluatethenl"-typechesttubeintraumaticeffusionwiththetraditionalcloseddrainageofpleuralcavitycloseddrainageofpleuralcavity.Methods77traumaticeffusionpatientswererandomlydividedintotwogroups,respectivel

4、y,with"「-typechesttubeandintegrationofclosedthoracicdrainagetubeclosedthoracicdrainage,respectively.Twogroupsofpatientswithlungrecruitmenttime,residualpleuraleffusionwithouttimeandpostoperativechestpainindex.ResultsNostatisticallysignificantdifferencesintreatmentbetw

5、eentwogroups(P<0.05)experimentalgroupreexpansionofthelung,pleuraleffusionandnoresidualtimeissignificantlyshorter,postoperativepainscoresonLungrecruitmenttime,residualpleuraleffusionfreetimewassignificantlyshorterthanthecontrolgroup,significantlylowerpostoperativep

6、ainscores.Significantlylower.ConclusionThenew'T-typechesttubeintraumaticeffusionintheapplicationwiththetraditionalcloseddrainageofpleuralcavitycloseddrainageofpleuralcavityinthelungrecruitmenttime,residualpleuraleffusionfreetimewassignificantlyshorterthanthecontrolgr

7、oup,significantlylowerpostoperativepainscores.【Keywords】Traumaticeffusion;Closeddrainageofpleuralcavity;Lungscompoundtime;Residue-freetimeofpleuraleffusion;Postoperativepainscoresthanthecontrolgroup.外伤性胸腔积液在我国极为常见，在胸部外伤的患者进行血胸、气胸及开胸手术后，必须常规置胸腔闭式引流管，冇效地引流对患者手术的顺利康复起到了

8、至关重要的作用。常规使用的胸腔引流管是直形硅胶引流管，苏一端置入胸腔,另一端接胸腔闭式引流瓶，使胸腔里的气体和液体顺利排出。但是这种胸腔引流管置入胸腔的深度不易控制，如置入过深，肺膨胀过程中可压迫引流管，使之扭曲成角而影响引流效果，置入过浅容易发生引流管脱出或引