论文部分内容阅读
目的观察胸腔内注射红霉素治疗顽固性气胸的疗效。方法 40例顽固性气胸患者,随机分为对照组和治疗组,每组20例,对照组给予吸氧、胸腔插管闭式引流持续负压吸引;治疗组在负压吸引基础上,经引流管向胸腔内注射5%葡萄糖250 ml+红霉素1 g,如无效可重复2~3次,比较两组临床疗效。结果治疗组治愈率为95.0%显著高于对照组的60.0%,两组疗效比较差异有统计学意义(P<0.05)。结论胸腔内注射红霉素治疗顽固性气胸疗效显著,值得推广应用。
Objective To observe the efficacy of intrapleural injection of erythromycin in the treatment of intractable pneumothorax. Methods Forty patients with refractory pneumothorax were randomly divided into control group and treatment group, with 20 cases in each group. The control group was given oxygen inhalation and closed drainage of pleural catheter for sustained negative pressure. On the basis of negative pressure suction, the treatment group was drained Tube to the intrathoracic injection of 5% glucose 250 ml + erythromycin 1 g, repeat 2 to 3 times if invalid, compare the clinical efficacy of the two groups. Results The cure rate of the treatment group was 95.0%, which was significantly higher than that of the control group (60.0%). There was significant difference between the two groups (P <0.05). Conclusion Intrapleural injection of erythromycin has a significant therapeutic effect on intractable pneumothorax and is worth popularizing.