高负压胸腔闭式引流综合治疗慢性脓胸的疗效分析_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

郭华 , 樊睿杰 , 史文武 , 林志明 , 陈若为

九江市解放军171医院心胸外科，江西九江 332000;

Corresponding author：

Keywords：

慢性脓胸; 高负压; 胸腔闭式引流

DOI：

10.7507/1007-4848.20140158

Video：

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目的探讨高负压胸腔闭式引流治疗慢性脓胸的效果。方法回顾性分析九江市解放军171医院心胸外科2006年5月至2012年5月收治的38例慢性感染性脓胸患者的临床资料，其中男26例、女12例，年龄7～61（41.2±7.4）岁，分析采用高负压胸腔闭式引流治疗的效果。结果 35例患者接受高负压胸腔闭式引流治愈，3例另外行局部胸膜纤维板剥脱术，全部患者康复，治疗后检查原胸内脓腔无残腔闭合，肺功能显著改善。无1例行胸廓成形术。全组患者住院时间（31.40±17.65）d。无并发症发生。随访1～5年无复发。结论高负压胸腔闭式引流是治疗慢性脓胸的有效手段。

Citation： 郭华, 樊睿杰, 史文武, 林志明, 陈若为. 高负压胸腔闭式引流综合治疗慢性脓胸的疗效分析. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(4): 560-562. doi: 10.7507/1007-4848.20140158 Copy

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12.	Badreldin AM, Bader RD, Hekmat K. Successful managemaent of a massive residual space empyema using intrathoracic vacuum-assisted instillation. J Thorac Cardiovasc Surg, 2013, 61 (7):642-645.
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1. 黄孝迈, 秦文瀚, 孙玉鹗, 主编.现代胸外科学.第2版.北京:人民军医出版社, 1997. 210.
2. 王炜, 陈昶, 张云曾.胸膜纤维板剥脱治疗结核性脓胸114例.中国胸心血管外科临床杂志, 2009, 16 (1):78.
3. 顾恺时, 主编.胸心外科手术学.北京:人民卫生出版社, 1985. 412.
4. 李国明, 周锋平, 李仁喜, 等.慢性脓胸的临床分析.湘南学院学报:医学版, 2008, 10 (3):45-46.
5. 韩永志.胸腔灌洗法治疗急性脓胸26例分析.宁夏医学杂志, 2001, 23 (11):673.
6. 陈如坤, 主编.临床胸心外科学诊断分析与治疗要领.北京:人民军医出版社, 1993. 90-91.
7. 曹大勇, 陈绍宗, 汤苏阳, 等.封闭式负压引流技术对人慢性创面血管生成的影响.中国临床康复, 2004, 8 (2):264-265.
8. Morykwas MJ, Argenta LC, Shelton-Brown EI, et al. Vacuum-assisted closure:a new method for wound control and treatment:animal studies and basic foundation. Ann Plast Surg, 1997, 38 (6):553-562.
9. Olenius M, Dalsgaard CJ, Wickman M. Mitotic activity in expanded human skin. Plast Reconstr Surg, 1993, 91 (2):213-216.
10. Chen KD, Li YS, Kim M, et al. Mechanotransduction in response to shear stress. Roles of receptor tyrosine kinases, integrins, and Shc. J Biol Chem, 1999, 274 (26):18393-18400.
11. Conquest AM, Garofalo JH, Maziarz DM, et al. Hemodynamic effects of the vacuum-assisted closure device on open mediastinal wounds. J Surg Res, 2003, 115 (2):209-213.
12. Badreldin AM, Bader RD, Hekmat K. Successful managemaent of a massive residual space empyema using intrathoracic vacuum-assisted instillation. J Thorac Cardiovasc Surg, 2013, 61 (7):642-645.
13. 刘先胜, 徐永健.脓胸的处理.中国实用内科杂志, 2008, 28 (2):84-85.
14. Rosenstengel A. Pleural infection-current diagnosis and management. J Thorac Dis, 2012, 4 (2):186-193.
15. Ahmed RA, Marrie TJ, Huang JQ. Thoracic empyema in patients with community-acquired pneumonia. Am J Med, 2006, 119:877-883.

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高负压胸腔闭式引流综合治疗慢性脓胸的疗效分析

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