本文選題：胸腔鏡 + 胸腔留置浸洗��； 參考：《中華醫(yī)院感染學(xué)雜志》2014年17期

【摘要】：目的探討對(duì)肺結(jié)核術(shù)后重癥胸腔感染患者采用胸腔鏡下胸腔留置浸洗治療的臨床效果,以期提高臨床對(duì)肺結(jié)核術(shù)后發(fā)生重癥胸腔感染患者的診治水平。方法選取在醫(yī)院診治的肺結(jié)核術(shù)后重癥胸腔感染患者42例,隨機(jī)分為觀察組和對(duì)照組,各21例,觀察組采取胸腔鏡下胸腔留置浸洗,對(duì)照組采取胸腔鏡下胸腔沖洗,比較兩組臨床效果。結(jié)果治療總有效率觀察組為100.00%、對(duì)照組為90.48%,觀察組總有效率高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組及對(duì)照組平均治愈時(shí)間(30.15±3.91)d及(75.76±4.19)d,平均住院時(shí)間(33.81±3.11)d及(78.93±4.31)d,觀察組平均治愈時(shí)間和平均住院時(shí)間明顯短于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組中不伴有支氣管胸膜瘺患者及伴有支氣管胸膜瘺患者平均治愈時(shí)間(26.15±1.87)d及(32.15±1.99)d,平均住院時(shí)間(30.37±1.01)d及(36.09±1.21)d,不伴有支氣管胸膜瘺患者平均治愈時(shí)間及平均住院時(shí)間明顯短于伴有支氣管胸膜瘺患者,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論對(duì)肺結(jié)核術(shù)后重癥胸腔感染患者采取胸腔鏡下胸腔留置浸洗治療的效果顯著,可有效縮短治愈時(shí)間及住院時(shí)間,減少患者經(jīng)濟(jì)負(fù)擔(dān)。
[Abstract]:Objective to investigate the clinical effect of thoracoscopic indwelling and soaking in patients with severe thoracic infection after pulmonary tuberculosis operation, and to improve the clinical diagnosis and treatment of severe thoracic infection after pulmonary tuberculosis. Methods 42 patients with severe thoracic infection after pulmonary tuberculosis operation in hospital were randomly divided into two groups: the observation group and the control group, 21 cases each. The observation group was treated with thoracoscopic indwelling and the control group was treated with thoracoscopic thoracic lavage. To compare the clinical effect between the two groups. Results the total effective rate of treatment was 100.00g in the observation group and 90.48 in the control group. The total effective rate of the observation group was higher than that of the control group. The average cure time and average hospitalization time of the observation group and the control group were 30.15 鹵3.91 and 75.76 鹵4.19 days, respectively, and the average hospitalization time were 33.81 鹵3.11 and 78.93 鹵4.31 days, respectively. The average cure time and the average hospitalization time in the observation group were significantly shorter than those in the control group. The average cure time of patients without bronchopleural fistula and with bronchopleural fistula was 26.15 鹵1.87 days and 32.15 鹵1.99 days, the average hospitalization time was 30.37 鹵1.01 days and 36.09 鹵1.21 days, and the average cure time of patients without bronchopleural fistula was 30.37 鹵1.01 and 36.09 鹵1.21 days. The average length of hospitalization was significantly shorter than that in patients with bronchopleural fistula. The difference was statistically significant (P 0.05). Conclusion the effect of thoracoscopic indwelling and soaking for patients with severe thoracic infection after pulmonary tuberculosis operation is remarkable, which can effectively shorten the time of cure and hospitalization, and reduce the economic burden of patients.
【作者單位】： 瓊海市人民醫(yī)院心胸外科;牡丹江醫(yī)學(xué)院附屬第二醫(yī)院;
【基金】：海南省自然科學(xué)基金資助項(xiàng)目(2013-813172)
【分類(lèi)號(hào)】：R521

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