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, PDF,   
作者: 楚师成, 高学军*, 吴天宇, 宋云浩:滨州医学院烟台附属医院,山东 烟台;高俊苹:滨州医学院附属医院,山东 滨州
关键词: 气胸胸腔闭式引流不同管径Pneumatothorax Closed Drainage of Thoracic Cavity Different Pipe Diameters
摘要: 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。
Abstract: 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.
文章引用:楚师成, 高俊苹, 高学军, 吴天宇, 宋云浩. 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[J]. 临床医学进展, 2020, 10(7): 1483-1488. https://doi.org/10.12677/ACM.2020.107223

参考文献

[1] Kelly, C., Carlberg, M. and Madsen, T. (2019) Spontaneous Pneumothorax Resulting in Tension Physiology. The American Journal of Emergency Medicine, 37, 173e1-e2. [Google Scholar] [CrossRef] [PubMed]
[2] Getz, S.B. and Beasley, W.E. (1983) Spontaneous Pneumothorax. The American Journal of Surgery, 145, 823-827. [Google Scholar] [CrossRef] [PubMed]
[3] Sadikot, R.T., Greene, T., Meadows, K., et al. (1997) Recurrence of Primary Spontaneous Pneumothorax. Thorax, 52, 805-809. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[6] Noppen, M., Verbanck, S., Harvey, J., et al. (2004) Music: A New Cause of Primary Spontaneous Pneumothorax. Thorax, 59, 722-724. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef
[10] Wong, A., Galiabovitch, E. and Bhagwat, K. (2019) Management of Primary Spontaneous Pneumothorax: A Review. ANZ Journal of Surgery, 89, 303-308. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[15] Maskell, N.A., Medford, A. and Gleeson, F.V. (2010) Seldinger Chest Drain Insertion: Simpler But Not Necessarily Safer. Thorax, 65, 5-6. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]
[19] Uramoto, H., Shimokawa, H. and Tanaka, F. (2012) What Factors Predict Recurrence of a Spontaneous Pneumothorax? Journal of Cardiothoracic Surgery, 7, 112. [Google Scholar] [CrossRef] [PubMed]
[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. [Google Scholar] [CrossRef] [PubMed]