摘要
目的探讨抽气时机对原发性自发性气胸(PSP)疗效的影响。方法收集138例经胸腔穿刺抽气术治疗的PSP患者。其中,发病后首次胸腔穿刺抽气时间<3 d为早期组,共68例;抽气时间>3 d为延迟组,共70例。对两组疗效进行比较。结果早期组胸腔穿刺抽气治愈31例(45.5%),平均住院时间(11.4±2.5)d;延迟组胸腔穿刺抽气治愈59例(84.2%),平均住院时间(7.1±3.4)d;两组比较,差异有统计学意义(P<0.05)。1年内随访患者128例,失访10例。在X线胸片检查中,早期组40例患者出现胸膜粘连,而延迟组未出现胸膜粘连,两组比较,差异有统计学意义(P<0.05)。结论临床抽气时间的早晚可影响PSP患者预后,延迟抽气治疗可缩短PSP患者住院时间,提高治愈率,降低PSP复发率和胸膜粘连发生率。
Objective To explore the effect of frist thoracentesis timing on the efficacy of primary spontaneous pneumotho- rax （PSP）. Methods This was a retrospective review of 138 cases who suffered with PSP and we evaluated the efficacy. Cases were randomly divided into early （ 〈35 d,n =68） group and delayed （ 〉3 d,n=70） exhaust air group,in order to compare the efficacy between the two groups. Results The average hospitalization time in the early group and delayed group were （11.4 ±2.5 ） days and （7.1 ±3.4）days,respectively;while the cure rates were 31 cases （45.5%） and 59 cases （84.2%） ,respectively. There were significant differences in cure rates and average hospitalization time between the two groups （P 〈 0.05 ）. We followed up all patients in one year,that 40 patients in early group and none of the patient in delayed group had radiographic pleural adhesions appearances. Conclusion The time of air exhaust is associated with prognosis of primary spontaneous pneumothorax. These data suggest that delayed intervention is an effective initial treatment strategy for patients with PSP, with a shorter hospitalization time, higher cure rate, lower recurrence rate and fewer pleural adhesions.
出处
《创伤与急危重病医学》
2015年第2期98-100,共3页
Trauma and Critical Care Medicine
关键词
原发性自发性气胸
胸腔穿刺
抽气时机
胸膜粘连
primary spontaneous pneumothorax
thoracocentesis
extraction time
pleural adhesions
