自發性氣胸治療分析

[摘要] 目的 探討胸腔閉式引流治療自發性氣胸的有效性與安全性。方法 方便選取2007年1月—2016年5月該院收治的60例自發性氣胸患者為研究對象，隨機將入選病例均分為兩組。實驗組30例，患者行胸腔閉式引流治療，持續漏氣者胸膜腔固定；對照組30例，患者行胸膜腔穿刺抽氣治療。觀察兩組治療有效率和并發癥發生率。結果 實驗組患者治愈率（73.33%）和治療總有效率（93.33%）均顯著高于對照組治愈率（40.0%）和治療總有效率（83.33%），實驗組并發癥發生率（3.33%）顯著低于對照組（16.67%），差異均有統計學意義（P<0.05）。結論 以胸腔閉式引流治療自發性氣胸可有效改善患者臨床癥狀，幫助恢復肺功能，且并發癥發生率低，治療安全有效，值得臨床推廣。

[關鍵詞] 自發性氣胸；閉式引流；胸腔膜固定

[中圖分類號] R56 [文獻標識碼] A [文章編號] 1674-0742（2016）11（c）-0108-03

[Abstract] Objective To explore the effectiveness and safety of thoracic closed drainage in the treatment of spontaneous pneumothorax. Methods Convenient selection 60 cases of spontaneous pneumothorax patients admitted to our hospital from January 2007 to May 2016 in our hospital were selected as the study subjects， and two groups were randomly divided into groups. In the experimental group， 30 patients were treated with closed thoracic drainage， and 30 patients in the control group were treated with pleural cavity puncture， and the control group was treated with pleural cavity puncture. Observe the incidence rate of two groups of treatment. Results Patients in the experimental group， the cure rate （73.33%） and treatment the total effective rate （93.33%） were significantly higher than that of the control group， the cure rate（40.0%） and total treatment efficiency （83.33%）， the incidence rate of complications in experimental group（3.33%） was significantly lower than that of the control group （16.67%）， and the difference is statistically significant（P < 0.05）.Conclusion Thoracic closed drainage in the treatment of spontaneous pneumothorax can effectively improve the clinical symptoms of patients to help restore pulmonary function， and the incidence of complications is low， the treatment is safe and effective， it is worthy of clinical promotion.

[Key words] Spontaneous pneumothorax； Closed drainage； Pleural membrane fixation

自發性氣胸是指非外傷性病損所致肺泡內氣壓升高使肺胸膜發生破裂引起胸膜腔與大氣相通所導致的肺和支氣管內空氣逸入胸膜腔[1]。該病屬臨床常見肺科急癥，可引發呼吸困難、胸痛等，重者危急生命，需要及時救治。現階段，自發性氣胸臨床可行治療方法有多種，該院近年來以胸腔閉式引流或聯合胸膜腔固定治療自發性氣胸取得良好臨床效果，文章現以2007年1月—2016年5月該院收治的60例自發性氣胸患者為例進行分析和探討，現報道如下。

1 資料與方法

1.1 一般資料

方便選取2007年1月—2016年5月該院收治的60例自發性氣胸患者為研究對象，全部患者對該研究目的均知情并同意配合，隨機將入選病例均分為兩組。……