| 黄成.中心静脉导管胸腔闭式引流治疗特重度烧伤并发胸腔积液疗效观察[J].中国烧伤创疡杂志,2019,(4):269~272. |
| DOI： |
| 中文关键词: 中心静脉导管 胸腔闭式引流 胸膜腔穿刺术 特重度烧伤 胸腔积液 疗效 |
| 英文关键词:Central venous catheter Thoracic closed drainage Thoracentesis Extremely severe burns Pleural effusion Clinical efficacy |
| 基金项目: |
|
| 摘要点击次数: 1874 |
| 全文下载次数: 4088 |
| 中文摘要: |
| 【摘要】 目的对比观察中心静脉导管胸腔闭式引流与胸膜腔穿刺术治疗特重度烧伤并发胸腔积液的临床疗效? 方法 按照随机数表法将 2012 年 2 月至 2017 年 12 月湘潭市中心医院烧伤创疡整形科收治的 36 例特重度烧伤并发胸腔积液患者随机分为试验组 (18 例) 与对照组 (18 例), 其中试验组患者采用中心静脉导管胸腔闭式引流治疗胸腔积液, 对照组患者采用胸膜腔穿刺术治疗胸腔积液, 对比观察两组患者的呼吸困难改善持续时间? 引流量及胸腔积液消退时间? 结果 试验组患者的呼吸困难改善持续时间为 ( 6 00 ± 0 56 ) d? 引流量为(856 28 ± 236 24 ) mL / d? 胸腔积液消退时间为 ( 6 50 ± 0 32 ) d, 对照组患者的呼吸困难改善持续时间为(1 50 ± 0 24) d? 引流量为 (478 62 ± 125 82) mL / d? 胸腔积液消退时间为 (10 50 ± 0 31) d, 两组患者呼吸困难改善持续时间? 引流量及胸腔积液消退时间对比, P 均 < 0 05, 差异具有统计学意义? 结论 中心静脉导管胸腔闭式引流治疗特重度烧伤并发胸腔积液, 不仅可避免反复多次胸膜腔穿刺, 减少相应并发症的发生, 还可促进胸腔积液消退, 缓解呼吸困难等症状, 减轻患者痛苦, 值得临床推广应用? |
| 英文摘要: |
| 【Abstract】 Objective To compare the clinical efficacy of thoracic closed drainage using central venous catheter and thoracentesis in the treatment of extremely severe burns complicated with pleural effusion. Methods Thirty?six patients with extremely severe burns complicated with pleural effusion, admitted to the Department of Burn and Plastic Surgery, Xiangtan Central Hospital from February 2012 to December 2017 were divided, according to the random number table, into an experiment group (18 cases) and a control group (18 cases). The pleural effusion of patients in the experiment group were treated thoracic closed drainage using central venous catheter while in the control group the thoracentesis was given to treat the pleural effusion of patients. The time for respiration improvement, drainage volume, and fading time for pleural ef? fusion were respectively compared between the two groups. Results In the experiment group, the time for respiration im? provement was (6 00 ± 0 56) d, the drainage volume was (856 28 ± 236 24) mL / d, and the fading time for pleural effu? sion was (6 50 ± 0 32) d. In contrast, the corresponding data in the control group were respectively (1 50 ± 0 24) d,
(478 62 ± 125 82) mL / d and (10 50 ± 0 31) d. The three items were respectively compared between the two groups and the results all showed statistically significant differences ( P < 0 05). Conclusion Thoracic closed drainage using central venous catheter in the treatment of extremely severe burns complicated with pleural effusion can not only avoid the repeated thoracentesis, reduce the occurrence of related complications, and also promote the fading away of pleural effusion and re? lieve the dyspnea and patients’ suffering, deserving to be promoted in clinical practice. |
|
|
|
|
