| 岳庆峰,汪永和,魏祥志,等.自体血胸腔注射在肺切除术后并发气胸中临床应用研究[J].安徽医药,2023,27(4):759-762. |
| 自体血胸腔注射在肺切除术后并发气胸中临床应用研究 |
| Clinical application of autologous blood injection into thoracic cavity in patients with pneumothorax after pulmonary resection |
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| DOI：10.3969/j.issn.1009-6469.2023.04.028 |
| 中文关键词: 肺切除术 气胸 自体血 香菇多糖 胸腔注射 |
| 英文关键词: Pneumonectomy Pneumothorax Autologous blood Mushroom polysaccharide Pleural injection |
| 基金项目:合肥市第三人民医院院内基金( hfsyjj202103) |
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| 中文摘要: |
| 目的比较自体血胸腔注射和香菇多糖胸腔注射促进胸膜粘连对肺部术后气胸的临床疗效及不良反应。方法选取合肥市第三人民医院(安徽医科大学合肥第三临床学院) 2019年 1月至 2022年 8月共 46例肺部术后气胸病人，按照抛硬币法分组为观察组(自体血胸腔注射) 22例和对照组(香菇多糖胸腔注射) 24例；两组病人先行 1 000 mL生理盐水冲洗胸腔，使肺表面纤维条索粘连带冲洗干净；观察组以自体血 80 mL，自胸管注入胸腔；对照组以香菇多糖 4 mg+0.9%氯化钠注射液 50 mL，自胸管注入胸腔。比较两组治疗效果、手术后住院时间及不良反应。结果观察组有效率为 95.5%(21/22)对照组有效率为 |
| 英文摘要: |
| Objective To compare the clinical efficacy and side effects of pleural adhesion promoted by autologous blood injectionand lentinan injection on postoperative pulmonary air leakage.Methods From January 2019 to August 2022, a total of 46 patientswith air leakage after lung surgery in The Third People′s Hospital of Hefei(Hefei Third Clinical College of Anhui Medical University)were coin toss divided into the observation group (autologous blood thoracic injection) of 22 patients and the control group (lentinan thoracic injection) of 24 patients. In the two groups, the chest cavity was first flushed with 1 000 mL normal saline to clean the fibrous bands on the lung surface; In the observation group, 80 mL autologous blood was injected into the thoracic cavity through a thoraciccatheter; In the control group, lentinan 4 mg+0.9% sodium chloride injection 50 mL was injected into the thoracic cavity through achest catheter. The treatment effect, average hospitalization time and adverse reactions of the two groups were compared.Results The effective rate of the observation group was 95.5% (21/22), and that of the control group was 66.7% (16/24). The difference between thetwo groups was statistically significant. The average hospital stay after operation in the observation group and the control group was(4.95±0.84)days and (7.96±1.85)days, with a statistically significant difference. The adverse reactions in the observation group were also significantly less than those in the control group, with a statistically significant difference.Conclusion Intrathoracic injection of autologous blood can promote the treatment of pleural adhesions with air leakage after pulmonary surgery, with obvious effect, short hospitalization time and less adverse reactions, which is worthy of clinical application. |
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