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目的探讨早期排气与延迟排气对原发性自发性气胸疗效的差异,指导临床治疗。方法回顾性分析本院92例原发性自发性气胸患者的临床资料,并随机分为两组,对早期排气与延迟排气治疗疗效进行比较分析。结果早期排气组抽气1次成功率为11.11%(5/45),抽气2次为28.89%(13/45),转手术率为13.33%(6/45),而延迟排气组分别为61.70%(29/47)、25.53%(12/47)、4.26%(4/47);平均住院时间:早期排气组为(8.3±6.9)d,延迟排气组(3.5±5.7)d;随访1年后,发现早期排气组气胸复发率为22.22%(10/45),延迟排气组为2.21%(1/47),差异有统计学意义(P<0.05)。结论延迟胸穿抽气处理原发性自发性气胸较传统立即穿刺治愈率高,住院时间短,复发率低。
Objective To investigate the differences between the curative effect of early exhaust and delayed exhaust in treating primary spontaneous pneumothorax and guide the clinical treatment. Methods The clinical data of 92 patients with primary spontaneous pneumothorax in our hospital were retrospectively analyzed. The clinical data of the patients were divided into two groups at random. The curative effects of early exhaust and delayed exhaust were comparatively analyzed. Results The success rate of first exhaust in early exhaust group was 11.11% (5/45), twice in aspiration was 28.89% (13/45), and the rate of operation was 13.33% (6/45) The average length of hospital stay was (8.3 ± 6.9) days in the early extubation group and 3.5 ± 5.7 (3.5 ± 5.7) days in the delayed expelling group (61.7%, 29/47), 25.53% (12/47) and 4.26% ) d. After one year of follow-up, it was found that the rate of pneumothorax recurrence was 22.22% (10/45) in early extubation and 2.21% (1/47) in delayed extubation, the difference was statistically significant (P <0.05). Conclusion Delayed thoracentesis aspiration treatment of primary spontaneous pneumothorax than the traditional immediate puncture high cure rate, hospitalization time is short, the recurrence rate is low.