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目的:分析自发性气胸采用中心静脉导管作微创胸腔闭式引流结合持续低负压吸引的治疗效果。方法:对43例自发性气胸患者均采用中心静脉导管作微创胸腔闭式引流的新方法。结果:43例自发性气胸病人行胸腔闭式引流34例,胸腔闭式引流电动负压吸引7例,2例需应用常规胸腔闭式引流,平均住院时间为4.8天,均治愈出院。结论:采用中心静脉导管行胸腔内插管闭式引流术,安全有效,操作简捷,胸膜组织损伤小,避免了反复穿刺造成的胸膜多处损伤、出血、皮下气肿、复张性肺水肿及循环障碍等,减轻患者痛苦,缩短了治疗疗程,疗效显著。
Objective: To analyze the treatment effect of spontaneous pneumothorax using central venous catheter for minimally invasive thoracic closure drainage combined with sustained low vacuum suction. Methods: A total of 43 patients with spontaneous pneumothorax were treated with central venous catheter for minimally invasive thoracic drainage. Results: Thirty-three cases of spontaneous pneumothorax were treated by closed thoracic drainage and 7 cases of closed vacuum drainage by thoracic drainage. Conventional thoracic drainage was used in two cases. The average length of hospital stay was 4.8 days. All cases were cured. Conclusions: Central venous catheter is safe and effective, and the operation is simple and pleural tissue damage is small. Multiple pleural injuries, hemorrhage, subcutaneous emphysema, and recurrent pulmonary edema caused by repeated puncture are avoided. Circulatory disorders, reduce patient pain, shorten the course of treatment, significant effect.