The Clinical Analysis Of Closed Thoracic Drainage Into Different Intercostals Thoracotomy In The Treatment Of Pleural Effusion

Objective：To discuss the methods and the curative effect of different intercostal closedthoracic drainage in the treatment of pleural effusion, and to seek the methods of reducepostoperative complications. Methods:91cases of pleural effusion from March2010toMarch2012in our hospital as the study object were divided into group A (five or sixintercostal closed thoracic drainage group) in45patients and B group (seven or eightintercostal closed thoracic drainage group) in46cases, and made the B ultrasoundexamination in pleural effusion for positioning. By two methods for case control study,evaluate the rate of the diaphragm and abdominal organs injury, the lung recruitment,empyema thoracic, the time of pleural effusion absorption, the pain time, and the durationof chest tube indwelling of the two groups. Results：The patients were cured anddischarged. The total efficiency of group A is higher than that of group B (P<0.05).Therate of diaphragm and abdominal organs injury, the time of pleural effusion absorption, thepain time, the duration of chest tube indwelling and length of stay in group A were lowerthan that of group B (P<0.05). The contrast of lung recruitment and empyema thoracicincidence in the two groups have no difference (P>0.05). Conclusion：In the five or sixintercostal space line closed thoracic drainage is safe and feasible, and the total efficiencyis higher than the group of seven or eight intercostal space line closed thoracic drainage. Itcan obviously relieve pain, and reduce diaphragmatic and abdominal organs injuries andother complications. It is ideal for the treatment of pleural effusion, and it is worthy of thefurther promotion and application for clinical.