Efficacy of closed thin tube thoracic drainage in the treatment of traumatic hemopneumothorax
10.3760/cma.j.cn341190-20241118-01524
- VernacularTitle:细管胸腔闭式引流术治疗创伤性血气胸的效果观察
- Author:
Jianxue LI
1
Author Information
1. 宁波市第四医院发热门诊，宁波 315700
- Publication Type:Journal Article
- Keywords:
Hemopneumothorax;
Wounds and injuries;
Drainage;
Treatment outcome;
Perioperative care;
C-reactive protein;
Interleukins;
Postoperative complications
- From:
Chinese Journal of Primary Medicine and Pharmacy
2025;32(10):1519-1523
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of closed thin tube thoracic drainage in the treatment of traumatic hemopneumothorax and postoperative complications.Methods:The clinical data of 70 patients with traumatic hemopneumothorax admitted to Ningbo Fourth Hospital from January 2021 to May 2024 were retrospectively analyzed. Based on the type of drainage tubes used, the patients were divided into a control group ( n = 35, thick tube drainage) and an observation group ( n = 35, thin tube drainage). Both groups were followed up for 3 months. Clinical efficacy (markedly effective, effective, and ineffective), perioperative indicators [time to ambulation, time to extubation, duration of drainage, time to wound healing, and Visual Analog Scale score 12 hours post-surgery], inflammatory factors (C-reactive protein, interleukin-6, interleukin-8, and procalcitonin), and postoperative complications were compared between the two groups. Results:The efficacy of the observation group (markedly effective in 13 cases, effective in 21 cases, ineffective in 1 case) was greater than that of the control group (markedly effective in 8 cases, effective in 18 cases, ineffective in 9 cases) ( Z = -2.276, P<0.05). The time to ambulation, time to extubation, duration of drainage, and time to wound healing in the observation group were (4.25 ± 0.21) days, (3.15 ± 0.14) days, (5.01 ± 0.21) days, and (2.02 ± 0.22) days, respectively. These measurements were significantly shorter than those in the control group [(8.12 ± 0.36) days, (7.12 ± 0.25) days, (8.02 ± 0.36) days, (5.87 ± 0.36) days; t = 54.93, 81.97, 42.72, 53.98, all P<0.001]. At 12 hours after surgery, the Visual Analog Scale score in the observation group was significantly lower than that in the control group [(3.14 ± 0.25) vs. (5.12 ± 0.56); t = 19.10, P<0.001]. At 36 hours after surgery, the serum levels of C-reactive protein, interleukin-6, interleukin-8, and procalcitonin in the observation group were (22.02 ± 1.87) mg/L, (18.21 ± 3.25) ng/L, (17.23 ± 1.23) ng/L, and (12.02 ± 0.55) ng/L, respectively. These values were significantly lower than those in the control group [(29.02 ± 1.21) mg/L, (32.25 ± 2.12) ng/L, (21.54 ± 1.58) ng/L, (14.25 ± 0.87) ng/L; t = 18.59, 21.40, 12.73, 12.88, all P<0.001]. During hospitalization, the incidence of complications in the observation group was significantly lower than that in the control group [5.71% (2/35) vs. 28.57% (10/35); χ2 = 4.92, P<0.05]. Conclusions:Compared with thick tube drainage, closed thin tube thoracic drainage for the treatment of traumatic hemopneumothorax has better clinical outcomes. It not only promotes postoperative recovery in patients but also significantly reduces their pain, demonstrating good safety. This may be related to the milder inflammatory reactions observed after surgery.
