全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用：99美元
投递稿件

查看量下载量

相关文章

更多...

不同管径胸腔引流管对原发性自发性气胸的治疗效果比较
Comparison of Therapeutic Effects of Different Diameter Chest Tube on Primary Spontaneous Pneumothorax

DOI: 10.12677/ACM.2020.107223, PP. 1483-1488

Keywords: 气胸，胸腔闭式引流，不同管径
Pneumatothorax, Closed Drainage of Thoracic Cavity, Different Pipe Diameters

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：研究不同管径胸腔引流管对原发性自发行气胸的治疗效果，为临床医生提供经验。方法：应用对照研究的方法，记录50名患者在应用不同引流管行胸腔闭式引流术后不同时间的疼痛评分、X线结果及带管时间，运用统计学软件进行分析。结果：两组术后1 h、3 h、24 h、48 h疼痛评分及术后1 h肺复张情况比较有统计学意义(P < 0.05)；两组间术后24 h肺复张情况及带管时间比较无统计学意义(P > 0.05)。结论：中心静脉导管在治疗原发性自发性气胸中有独特的优势，可优先考虑。
Objective: To study the effect of different diameter Chest tube on primary spontaneous pneumothorax, and to provide experience for clinicians. Methods: Using Methods of controlled study to record 50 patients’ pain score, x-ray results and time after thoracic closed drainage with different drainage tube, then using statistical software. Results: The pain scores at 1 h, 3 h, 24 h and 48 h after operation and the pulmonary reinflation at 1 h after operation were statistically significant (p > 0.05), and the pulmonary reinflation and the duct time at 24 h after operation were not statistically significant (p < 0.05). Conclusion: Central Venous Catheter has a unique advantage in the treatment of primary spontaneous pneumothorax and should be given priority.

References

[1]  Kelly, C., Carlberg, M. and Madsen, T. (2019) Spontaneous Pneumothorax Resulting in Tension Physiology. The American Journal of Emergency Medicine, 37, 173e1-e2.
https://doi.org/10.1016/j.ajem.2018.09.036
[2]  Getz, S.B. and Beasley, W.E. (1983) Spontaneous Pneumothorax. The American Journal of Surgery, 145, 823-827.
https://doi.org/10.1016/0002-9610(83)90151-4
[3]  Sadikot, R.T., Greene, T., Meadows, K., et al. (1997) Recurrence of Primary Spontaneous Pneumothorax. Thorax, 52, 805-809.
https://doi.org/10.1136/thx.52.9.805
[4]  Olesen, W.H., Titlestad, I.L., Andersen, P.E., et al. (2019) Incidence of Primary Spontaneous Pneumothorax: A Validated, Register-Based Nationwide Study. ERJ Open Research, 5, 00022-2019.
https://doi.org/10.1183/23120541.00022-2019
[5]  Plojoux, J., Froudarakis, M., Janssens, J.P., et al. (2019) New Insights and Improved Strategies for the Management of Primary Spontaneous Pneumothorax. The Clinical Respiratory Journal, 13, 195-201.
https://doi.org/10.1111/crj.12990
[6]  Noppen, M., Verbanck, S., Harvey, J., et al. (2004) Music: A New Cause of Primary Spontaneous Pneumothorax. Thorax, 59, 722-724.
https://doi.org/10.1136/thx.2003.007385
[7]  Park, J.H., Lee, S.H., Yun, S.J., et al. (2018) Air Pollutants and Atmospheric Pressure Increased Risk of ED Visit for Spontaneous Pneumothorax. The American Journal of Emergency Medicine, 36, 2249-2253.
https://doi.org/10.1016/j.ajem.2018.04.020
[8]  Smit, H.J., Golding, R.P., Schramel, F.M., et al. (2004) Lung Density Measurements in Spontaneous Pneumothorax Demonstrate Airtrapping. Chest, 125, 2083-2090.
https://doi.org/10.1378/chest.125.6.2083
[9]  Noppen, M., Dekeukeleire, T., Hanon, S., et al. (2006) Fluorescein-Enhanced Autofluorescence Thoracoscopy in Patients with Primary Spontaneous Pneumothorax and Normal Subjects. American Journal of Respiratory and Critical Care Medicine, 174, 26-30.
https://doi.org/10.1164/rccm.200602-259OC
[10]  Wong, A., Galiabovitch, E. and Bhagwat, K. (2019) Management of Primary Spontaneous Pneumothorax: A Review. ANZ Journal of Surgery, 89, 303-308.
https://doi.org/10.1111/ans.14713
[11]  Schnell, J., Beer, M., Eggeling, S., et al. (2018) Management of Spontaneous Pneumothorax and Postinterventional Pneumothorax: German S3-Guideline. Zentralblatt fur Chirurgie, 143, S12-S43.
https://doi.org/10.1055/a-0588-4444
[12]  Benton, I.J. and Benfield, G.F. (2009) Comparison of a Large and Small-Calibre Tube Drain for Managing Spontaneous Pneumothoraces. Respiratory Medicine, 103, 1436-1440.
https://doi.org/10.1016/j.rmed.2009.04.022
[13]  Luketich, J.D., Kiss, M., Hershey, J., et al. (1998) Chest Tube Insertion: A Prospective Evaluation of Pain Management. The Clinical Journal of Pain, 14, 152-154.
https://doi.org/10.1097/00002508-199806000-00011
[14]  Wang, C., Lyu, M., Zhou, J., et al. (2017) Chest Tube Drainage versus Needle Aspiration for Primary Spontaneous Pneumothorax: Which Is Better? Journal of Thoracic Disease, 9, 4027-4038.
https://doi.org/10.21037/jtd.2017.08.140
[15]  Maskell, N.A., Medford, A. and Gleeson, F.V. (2010) Seldinger Chest Drain Insertion: Simpler But Not Necessarily Safer. Thorax, 65, 5-6.
https://doi.org/10.1136/thx.2009.117200
[16]  Ayed, A.K., Chandrasekaran, C. and Sukumar, M. (2006) Aspiration versus Tube Drainage in Primary Spontaneous Pneumothorax: A Randomised Study. European Respiratory Journal, 27, 477-482.
https://doi.org/10.1183/09031936.06.00091505
[17]  Zehtabchi, S. and Rios, C.L. (2008) Management of Emergency Department Patients with Primary Spontaneous Pneumothorax: Needle Aspiration or Tube Thoracostomy? Annals of Emergency Medicine, 51, 91-100.
https://doi.org/10.1016/j.annemergmed.2007.06.009
[18]  Chikaishi, Y., Kanayama, M., Taira, A., et al. (2019) What Is the Best Treatment Strategy for Primary Spontaneous Pneumothorax? A Retrospective Study. Annals of Medicine and Surgery, 45, 98-101.
https://doi.org/10.1016/j.amsu.2019.07.034
[19]  Uramoto, H., Shimokawa, H. and Tanaka, F. (2012) What Factors Predict Recurrence of a Spontaneous Pneumothorax? Journal of Cardiothoracic Surgery, 7, 112.
https://doi.org/10.1186/1749-8090-7-112
[20]  Cheng, Y.L., Huang, T.W., Lin, C.K., et al. (2009) The Impact of Smoking in Primary Spontaneous Pneumothorax. The Journal of Thoracic and Cardiovascular Surgery, 138, 192-195.
https://doi.org/10.1016/j.jtcvs.2008.12.019

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133