检验医学与临床2024，Vol.21Issue(9)：1245-1249,5.DOI:10.3969/j.issn.1672-9455.2024.09.012
急诊创伤性血气胸在床边超声引导下精准化穿刺置管引流术的治疗效果
Therapeutic effect of precise puncture and catheter drainage under bedside ultrasound guidance for emergency traumatic hemopneumothorax
摘要
Abstract
Objective To analyze the therapeutic effect of precise puncture and catheter drainage under bedside ultrasound guidance for emergency traumatic hemopneumothorax.Methods Sixty patients with e-mergency traumatic hemopneumothorax diagnosed and treated in the hospital from January 2022 to January 2023 were selected and randomly divided into a control group and an observation group by random number ta-ble method,with 30 patients in each group.The control group received traditional closed thoracic drainage sur-gery,while the observation group received bedside ultrasound guided precise puncture and drainage surgery.The clinical efficacy,catheterization time and operation time,recovery status(amount of painkiller used,cathe-ter drainage volume,catheter drainage time and hospitalization time),inflammatory factors[including inter-feron-γ(IFN-γ),interleukin-1β(IL-1β),intercellular adhesion molecule-1(ICAM-1)]levels,lung function[including first second forced expiratory volume(FEV1),forced vital capacity(FVC),maximum minute ven-tilation volume(MVV),residual volume(RV)]and incidence of complications between the two groups were compared.Results The total clinical effective rate of the observation group was 96.67%,which was higher than 73.33%in the control group(P<0.05).The catheterization time of the observation group patients was longer than that of the control group,and the operation time was shorter than that of the control group,with statistically significant differences(P<0.05).The amount of painkillers used and the catheter drainage vol-ume in the observation group were less than those in the control group(P<0.05),while the catheter drainage time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).Drainage for 3 days,the levels of serum IFN-γ,IL-1βand ICAM-1 in both groups were all lower than those immediately after surgery,moreover,the levels of serum IFN-γ,IL-1βand ICAM-1 in the observation group were all lower than those in the control group,and the differences had statistical significance(P<0.05).One month after surgery,FEV1,FVC and MVV in both groups were higher than those before surgery,and RV in both groups was lower than that before surgery,with statistically significant differences(P<0.05);moreover,FEV1,FVC,and MVV in the observation group one month after surgery were higher than those in the control group,and RV was lower than that in the control group,with statistically significant differences(P<0.05).The incidence of complications in the observation group was 10.00%(3/30),which was lower than 36.67%(11/30)in the control group(P<0.05).Conclusion Ultrasound guided precise puncture and catheter drainage for bedside treatment of emergency traumatic hemopneumothorax can improve the efficacy,reduce postoperative inflammatory reactions,improve lung function,reduce the incidence of post-operative complications,and facilitate the early recovery of patients..关键词
急诊/创伤性血气胸/超声/穿刺置管引流术/肺功能Key words
emergency/traumatic hemopneumothorax/ultrasound/puncture catheter drainage sur-gery/pulmonary function分类
医药卫生引用本文复制引用
彭亮,郭剑,查波辉,吴珊燕,舒华宝,吴胜华,杨子熠,王小娟..急诊创伤性血气胸在床边超声引导下精准化穿刺置管引流术的治疗效果[J].检验医学与临床,2024,21(9):1245-1249,5.基金项目
江西省鹰潭市科技计划项目(2023-9-33249). （2023-9-33249）
