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本次研究目的在于确定四环素胸膜粘连术(TCP)后自发性气胸的复发率,并与未做处置的观察组、单纯安置胸导管及胸廓切开术者对照。 材料与方法1985～1991年,共收治183例自发性气胸(213例次)病人,分为4个治疗组。①组78例次(77例)均予以TCP治疗,用药指征为无活动性肺及胸膜感染而已安置胸导管的各种自发性气胸患者。②组38例次(32例、气胸因<20％均予以观察治疗。③组68例次(66倒)仅安置胸导管。④组29例均行胸廓切开术治疗。 注药前先用阿托品及镇痛剂。经胸导管胸腔内注
The purpose of this study was to determine the recurrence rate of spontaneous pneumothorax after tetracycline pleurodesis (TCP) and to compare it with those who did not undergo treatment, thoracic catheters and thoracotomy alone. Materials and Methods From 1985 to 1991, a total of 183 patients with spontaneous pneumothorax (213 cases) were treated and divided into 4 treatment groups. ① A total of 78 patients (77 cases) were treated with TCP, and all the patients with spontaneous pneumothorax who had thoracic duct placement without active pulmonary and pleural infection were enrolled. ② The group of 38 cases (32 cases, pneumothorax were less than 20% were observed and treated.③group of 68 cases (66 inverted) only placed thoracic duct.④Twenty-nine patients underwent thoracotomy.First before injection Atropine and analgesics. Thoracic intrathoracic injection