摘要
目的 探讨对胸部手术传统粗管连接水封瓶引流方式的改进。方法 通过对我院28例（31人次）胸部手术引流改良采用细软管负压球袋装置代替粗管水封瓶引流术后的观察,总结改进引流后患者疼痛程度、下床活动时间、放置引流管的时间、有无引流管的堵塞和拔出引流管后胸腔穿刺次数。结果 术后疼痛程度,轻度15例,中度11例,重度2例;15人次未使用任何止痛药,12人次口服1-2次止痛药,4人次分别有3次以上使用止痛药。放置引流管后,开始下床活动的时间0.5-12小时,引流管留置的时间为6小时-21天,24小时引流量为2-2800 m L,无引流管堵塞现象。引流管拔除后没有需要胸腔穿刺病例。无一例胸腔内和手术引流切口感染,没有医源性气胸。结论 胸部手术后采用细软管负压球袋装置引流,创伤小,也不易堵塞,可较长时间放置,临床效果良好。
Objective To investigate the effect of chest surgical drainage by using modified catheter drainage in thoracic surgery. Methods Twenty-eight cases undergoing thoracic operation from July 2014 to December 2014 were included in the study. All patients received the intrathoracic drainage by using a narrow hose catheter with a negative pressure ball and pocket instead of traditional thick tube with water-sealed bottle. Pain degree, out-of-bed time, duration of catheter drainage,catheter obstruction, repeated thoracentesis were recorded and analyzed. Results Postoperative pain degree was concerned with mild pain in 15 cases, moderate pain in 11 cases, and severe pain in 2cases. And 13 cases took pain-killer, 1-2 times in 12 cases, more than 3 times in 4 cases. The fastest time to walk down bedding was 0.5-12 hours. Indwelling drainage tube stayed from 6 hours to21 days. The volume of 24-hours-drainage ranged from 2 to 2800 ml. No catheter was found obstruction. None of patients need pleural puncture again after removal of the fine hose tube.Conclusion In our study, the fine hose catheter with a negative pressure ball and pocket device had a good clinical effect with small wound, free drainage, and could be indwelled for a long time.
出处
《岭南现代临床外科》
2015年第4期498-500,共3页
Lingnan Modern Clinics in Surgery
基金
国家自然科学基金(8157010007)
关键词
胸部引流
细软引流管
负压球袋
粗引流管
水封瓶
Chest drainage
Small-bore tube
Negative pressure ball and pocket
Thick catheter
Water-sealed bottle
