中国冶金工业医学杂志

金葡素注射液与滑石粉胸腔内注入治疗自发性气胸的临床对比分析

作者：张红1 王志强 2

单位：1.内蒙古包钢医院心胸外科内蒙古包头 014010 2. 包头市九原区医院胸外科

分类号：R 561

出版年,卷(期):页码：2016,33(6):621-622

摘要：

目的比较金葡素注射液与滑石粉胸腔内注入治疗自发性气胸的临床效果。方法收集内蒙古包钢医院心胸外科2013年1月~2016年1月胸腔内注入金葡素注射液和滑石粉治疗自发性气胸患者65例，其中应用金葡素注射液30例为观察组，滑石粉35例为对照组。比较两组病人住院时间、住院费用、引流管留置时间、气胸复发例数、镇痛药物使用量、发热持续时间及发热病例数、体温。结果观察组与对照组住院时间、住院费用、引流管留置时间、气胸复发例数比较，差异无统计学意义（P＞0.05）。观察组镇痛药物使用量、发热持续时间及发热病例数、体温情况明显优于对照组，差异有统计学意义（Ｐ＜0.05）。结论胸腔内注入金葡素注射液治疗自发性气胸较滑石粉效果无差异，且金葡素注射液较滑石粉更安全，副作用更小，在临床治疗中值得推广。

关键词：金葡素注射液；滑石粉；自发性气胸

Abstract:ObjectiveComparison of clinical effects of Staphylococcal Enterotoxin C injection and pulvistalci in the treatment of spontaneous pneumothorax.Methods65 cases of spontaneous pneumothorax were collected in our department from January 2013 to January 2016 treated with pleural injection staphylococcin and pulvistalci powder, 30 cases of Staphylococcal Enterotoxin C injection were the observation group, 35 cases of pulvistalci powder were control group. Time stay in hospital, cost of hospitalization, indwelling time of drainage tube, cases number of pneumothorax recurrence, analgesic drug use, duration of fever and number of fever cases, body temperature of two groups were compared.ResultsThere were not statistically difference in the time stay in hospital, cost of hospitalization, indwelling time of drainage tube, cases number of pneumothorax recurrence between the two groups（P＞0.05）. In the observation group, the analgesic drug use, the duration of fever and the number of fever cases, and the temperature were better than that in the control group, there were statistically significant differences （P＜0.05）.ConclusionIntrapleural injection staphylococcin for spontaneous pneumothorax is no difference with pulvistalci powder and staphylococcin injection is more security and less side effects than pulvistalci powder, being worthy to be popularized in clinical treatment.

Key Words:Staphylococcal enterotoxin C injection; Pulvistalci; Spontaneous pneumothorax

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参考文献：

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［4］洪斌，黄利红.胸腔镜红霉素干粉胸膜固定术治疗难治性自发性气胸疗效观察［J］.重庆医学，2015，44(14):1964\|1965.

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