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我科1993年10月以来用深静脉穿刺套管针代替蘑菇头引流管,行闭式引流治疗自发性气胸42例,收到满意的治疗效果。本方法痛苦少,简便,安全。现报告如下。 1 临床资料 本组42例中,男29例,女13例,年龄21～71岁。其中慢性支气管炎、肺气肿27例,肺大疱破裂4例,支气管哮喘2例,原因不明者9例。其中左侧气胸24例,右侧16例,双侧2例。发病时间4小时～7天。X线(胸透或胸片)见肺压缩40％～90％。其中按陶仲为方法(中国实用内科杂志,1994,14:240)测压15例(用2ml的空针试压,刺入胸腔后向外拔针栓抽吸约1ml的胸腔内气体于空针内观察,如气体又随呼吸回入胸腔则为闭合性,如针栓随在原处来回移动则为交通性,如针栓随呼吸外移,则为张力性)。闭合性气胸6例,交通性气胸7例,张力性气胸2例。
Our department since October 1993 with a deep venous trocar instead of the mushroom drainage tube, closed drainage treatment of spontaneous pneumothorax in 42 cases, received a satisfactory therapeutic effect. This method is less painful, simple and safe. The report is as follows. 1 Clinical data 42 cases in this group, 29 males and 13 females, aged 21 to 71 years. Of which chronic bronchitis, emphysema in 27 cases, 4 cases of bullae rupture, bronchial asthma in 2 cases, 9 cases of unknown cause. Among them, 24 cases were left pneumothorax, 16 cases were right and 2 cases were bilateral. Incidence of 4 hours to 7 days. X-ray (chest or chest radiograph) see 40% to 90% of lung compression. Among them, according to Tao Zhong method (Chinese Journal of Internal Medicine, 1994,14: 240) measured pressure in 15 cases (with 2ml empty needle pressure test, piercing the thoracic cavity pull needle extraction about 1ml chest gas in the empty Needle observation, such as gas with breathing back into the chest is closed, such as the needle plug back and forth with the original office for the transport, such as the needle plug with the respiratory outreach, then tension). 6 cases of closed pneumothorax, 7 cases of traffic pneumothorax, 2 cases of tension pneumothorax.