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目的评估超细胸腔引流管在胸外科手术中应用的可靠性和安全性。方法对2011年1月~2012年4月应用超细胸腔引流管(艾贝尔,8FR,20 cm,225 ml/min,外径3 mm、内径2 mm)在55例普胸外科手术中应用,并与同期应用传统的胸腔闭式引流管(22F)70例患者进行比较。结果术后两组平均置管时间及胸内残留积液量和再穿刺次数与常规胸腔引流管结果比较差异均无统计学意义;但传统引流管置管后的止痛药物的应用及术后第1天、3天、5天的疼痛程度均明显高于超细引流管组(P<0.05)。结论超细胸腔引流管较与传统的胸腔引流管相比具有明显的优势,值得在临床上推广应用。
Objective To evaluate the reliability and safety of ultrathin chest drainage in thoracic surgery. Methods From January 2011 to April 2012, 55 cases of general thoracic surgery were treated with ultra-fine thoracic drainage tube (Abel, 8FR, 20 cm, 225 ml / min, external diameter 3 mm, internal diameter 2 mm) And compared with 70 patients who underwent traditional thoracic closure drainage (22F) in the same period. Results There were no significant differences in average catheterization time, intra-thoracic residual fluid volume and the number of re-puncture between the two groups after conventional drainage tube drainage and conventional chest drainage tube. However, The pain degree in 1 day, 3 days and 5 days were significantly higher than that in ultrafine drainage tube group (P <0.05). Conclusion Ultrathin chest drainage tube has obvious advantages over traditional chest drainage tube, which is worth popularizing in clinic.