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目的:比较中心静脉导管与传统硅胶管胸腔闭式引流治疗自发性气胸的疗效及并发症。方法:将自发性气胸患者62例,随机分成两组:治疗组30例予中心静脉导管进行胸腔闭式引流术配合负压吸引;对照组32例予传统硅胶管行胸腔闭式引流术配合负压吸引。分别比较两组患者的肺完全复张时间及治愈率与并发症发生率。结果:中心静脉导管与硅胶管行胸腔闭式引流术治疗自发性气胸的疗效无统计学意义,但治疗组的并发症明显少于、轻于对照组。结论:中心静脉导管进行闭式引流治疗自发性气胸,优于传统的硅胶管胸腔闭式引流术。
Objective: To compare the curative effect and complications of central venous catheter and traditional silicone tube thoracic closed drainage in treating spontaneous pneumothorax. Methods: Sixty-two patients with spontaneous pneumothorax were randomly divided into two groups: 30 cases in the treatment group were treated by thoracic closed drainage combined with negative pressure suction, while those in the control group were treated by closed drainage with thoracic drainage Pressure to attract. The complete lung recruitment time, the cure rate and the complication rate of the two groups were compared respectively. Results: The curative effect of central venous catheter and silicone tube in the treatment of spontaneous pneumothorax with closed thoracic drainage was not statistically significant, but the complication of the treatment group was less than that of the control group. Conclusion: The central venous catheter for closed drainage for the treatment of spontaneous pneumothorax, superior to the traditional silicone tube closed thoracic drainage.