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1、应用自制引流装置及改良胸腔闭式引流术治疗自发性气胸的临床研究作者：黄峻岭单位：071400河北省蠡县医院胸外科【摘要】目的探讨白发性气胸(SP)简单有效的而口适宜基层医疗机构普及的方法。方法103例次患者随机分为观察纽(n=52)和对照纽.(n=51)。观察纽.采用自制简易胸腔闭式引流装置及肋间小切口方法行胸腔闭式引流术。对照纽采用传统大口径胸引流管及肋间常规切口方法行胸腔闭式引流术。2组分别观察治愈率、置管时间、切口愈合时间、切口疼痛、患侧肩背部疼痛及帥脏层胸膜受刺激所致牵扯不适感、切口感染、皮
2、下气肿、引流管堵塞等并发症发生情况。结果观察纽•总有效率92.3%(治愈率84.6%),对照纽总有效率96.1%(治愈率90.2%)02组间比较治愈率、有效率、置管时间差异无统计学意义(P≷0.05),但观察组并发症出现较对照纽•少，尤其在切口疼痛、患侧肩背部疼痛及肺脏层胸膜受刺激所致牵扯不适感和切II感染等方面(PV0.05)。结论利用一次性输液管自制胸腔闭式引流装置及改良胸腔闭式引流术治疗SP,具有手术操作简单，易掌握，装置制作简便，取材方便，疗效可靠，并发症少的优点，适宜基层医院救治患
3、者使用，值得推广。【关键词】自制；引流装置；改良；胸腔闭式引流；自发性气胸ClinicalresearchofspontaneouspneumothoraxtreatedbyselfmadedrainagedeviceandmodifiedclosedthoracicdrainageHUANGJunling.DeparmentofThoracicSurgery,LiCountryHospital,Hebei,LiCountry071400,China[Abstract]ObjectiveToexp
4、lorethetherapyforspontaneouspneumothorax(SP)byusingasimple,effectiveandappropriatewaytobepopularizedinprimaryhealthcareinstitution.Methods103patientswererandomlydividedintotheobservationgroupandcontrolgroup・Theobservationgroupwastreatedwithselfmadesim
5、pleclosedthoracicdrainagedeviceandthemethodofintercostalsmallincision,however,thepatientsincontrolgroupweretreatedbyusingthetraditionallargecaliberchesttubeandtheintercostalincisionmethodofconventionallineclosedthoracicdrainage.Thecurerate,remainingti
6、meofdrainage,woundhealingtime,incisionpain,ipsilateralshoulderpainandlungirritationduetopleurallayersinvolveddiscomfort,woundinfection,subcutaneousemphysema,tubeblockagecomplicationswereobservedinbothgroups.ResultsThetotaleffectiverateinobservationgro
7、upwas92.3%(curerate:84.6%),whichincontrolgroupwas96.1%(curerate:90.2%).Thereweresignificantdifferenceinthecurerate,effictiverate,remainingtimeofdrainagebetweenthetwogroups(P>0.05),butthecomplicationsinobservationgroupweresignificantlyfewerthanthose
8、incontrolgroup,especiallyintheincisionpain^psilateralshoulderpainandlungirritationlayerofpleurainvolveddiscomfortandwoundinfection(P<0・05).ConclusionTheuseofadisposableinfusiontubehomemadethoracicdrainagedeviceandmodifiedclosedthoracicdrain
