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目的探讨硬膜外麻醉导管胸腔置管抽气或引流治疗自发性气胸的优势。方法对2008年6月以来的11例自发性气胸采用硬膜外穿刺针胸腔穿刺,硬膜外麻醉导管胸腔置管,然后通过硬膜外麻醉导管接头接注射器抽气或接输液器引流。结果 9例患者只采用硬膜外麻醉导管胸腔置管间断抽气治疗痊愈,2例患者采用抽气治疗后呼吸困难缓解,随后又出现呼吸困难,给予接一次性输液器再接简易水封瓶闭式引流治疗痊愈。结论运用硬膜外麻醉导管胸腔置管抽气或引流治疗自发性气胸疗效可靠,创伤性小,操作简便灵活,取材价廉易得,大大方便了患者,特别适合基层医生应用。
Objective To investigate the advantages of epidural anesthesia catheter drainage or drainage in the treatment of spontaneous pneumothorax. Methods Thirteen patients with spontaneous pneumothorax were treated with thoracentesis via epidural needle and catheterization of epidural anesthesia. Thoracic catheterization was performed on the spontaneous pneumothorax since June 2008, and then drained through an epidural anesthesia catheter adapter or an infusion catheter. Results Nine patients were cured only by intermittent extraction of the epidural anesthesia catheter and thoracic catheterization. Two patients were relieved of dyspnea after inhalation therapy, followed by dyspnea, and then received a one-time infusion set followed by a simple water-sealed bottle Closed drainage treatment healed. Conclusion Epidural anesthesia catheter chest thoracic suction or drainage for the treatment of spontaneous pneumothorax Reliable, traumatic, easy to operate and flexible, easy access to materials, greatly facilitate the patients, especially for primary care doctors.