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

Objective:Select a different intercostal be closed thoracic drainage therapy in patients with pleural effusion, compare different intercostalthoracic drainage of pleural effusion therapy, postoperative complications and recovery, etc., and explore better position cut thoracic drainage point.Methods:Select March2012-October2013, Xinjiang Medical University Second Hospital of Xinjiang Medical University,48cases and the Third Hospital of52cases of pleural effusion, pneumothorax patients as research subjects, divided into two groups, A group of48cases, axillary line and select the fifth intercostal space anterior axillary line as an entry point closed thoracic drainage; group B52patients selected axillary line and the anterior axillary line seventh, eighth rib closed thoracic drainage, both groups chest radiographs, chest ultrasound to locate on the pleural effusion, pleural effusion routine, biochemical, tuberculosis, cancer and other related series of checks. Comparative analysis of differences in efficacy between the two groups, pain, postoperative complications, and so on.Results:All patients with pleural effusion were achieved clinical cure. A total effective than group B (P<0.05). A complete set of pleural fluid absorption time, diaphragm, abdominal organ injury, lung infections and other complications, chest tube placement, postoperative pain NRS scores, such as the incidence of hospitalization than group B (P<0.05). Two lung infections, lung recruitment, such as contrast mediastinal flutter was no significant difference (P>0.05). Conclusion:In the fifth intercostal closed thoracic drainage is feasible and safe, there is always more efficient than the seventh, eighth intercostal closed thoracic drainage group, can significantly reduce the incidence of the diaphragm and abdominal organ damage and other complications, is worthy of further validate the promotion.