摘要
目的分析将急诊胸腔镜应用于自发性血气胸诊治的临床效果及价值。方法 70例自发性血气胸患者均为我院2014年1月～2015年10月期间收治的患者,按照双盲法将其分成两组,各35例。对研究组及对照组患者分别行急诊胸腔镜和传统开胸手术治疗,对比两组患者手术相关指标和不良反应发生率。结果 研究组患者的胸管引流时间、平均手术时间、住院时间、术中出血量、术后胸腔引流量、术后36 h疼痛评分及是否入住ICU明显低于对照组（P〈0.05）。两组患者不良反应发生率比较,无显著差异（P〉0.05）。结论 自发性血气胸的临床治疗中应用急诊胸腔镜临床效果较好,能够有效缩短手术时间,降低治疗风险,在临床中应用具有重要意义。
Objective To study the clinical effect and value of emergency thoracoscopy in the diagnosis and treatment of spontaneous hemopneumothorax. Methods Seventy patients with spontaneous hemopneumothorax were enrolled in our hospital from January 2014 to October 2015. The patients were divided into two groups according to the double- blind method. The patients in study group and control group were treated with emergency thoraeoscopy and traditional thoracotomy respectively. The operation-related indexes and incidence of adverse reactions were compared between the two groups. Results The data of operation-related indexes of the study group such as chest tube drainage time, average operation time, hospitalization time, intraoperative blood loss, postoperative pleural drainage volume, pain score after 36 h and ICU stay were significantly lower than those of the control group（P〈0.05）, but there was no significant differ- ence in the incidence of adverse reactions between the two groups（P〉0.05）. Conclusion The application of emergency thoracoscopy in the clinical treatment of spontaneous hemopneumothorax is effective, which can shorten the operation time and reduce the treatment risk. It is of great significance in clinical application.
出处
《中国现代医生》
2016年第28期60-62,共3页
China Modern Doctor
基金
福建省卫生厅青年课题立项项目(2011-2-70)
关键词
急诊
自发性血气胸
胸腔镜手术
应用
Emergency
Spontaneous hemopneumothorax. Thoracoscope surgery
Application
