Li H, Ling Y
Third Department of Internal Medicine, Affiliated Hospital of Guangdong Medical College, Zhanjiang.
J Tongji Med Univ. 1996;16(1):52-4, 64. doi: 10.1007/BF02889046.
57 patients were divided into two groups at random. The patients of two groups were all given standard treatments with anti-tuberculous drugs. Treatment group received artificial pneumothorax to help the cure. Results showed that the frequency and quantity of drawing liquid in the treatment group were obviously less than those in the control group and the duration of the complete liquid absorption was shortened markedly in the treatment group and that total effective rate in treatment group (92.5%) was obviously higher than that of the control group (83.33%). We found that the artificial pneumothorax could raise the intra-pleural pressure by 0.20-0.39 kPa, reduce leakage in parietal pleurae and increase the absorption in visceral layer evidently. As it can isolate the two layers of pleurae from one another by the air in thorax, the incidence of pleurae adhesion can be decreased.
57例患者被随机分为两组。两组患者均给予抗结核药物标准治疗。治疗组采用人工气胸辅助治疗。结果显示，治疗组的抽液次数和抽液量明显少于对照组，治疗组胸腔积液完全吸收时间明显缩短，治疗组总有效率（92.5%）明显高于对照组（83.33%）。我们发现，人工气胸可使胸腔内压升高0.20 - 0.39kPa，明显减少壁层胸膜渗漏，增加脏层胸膜对胸腔积液的吸收。由于胸腔内的气体可使两层胸膜相互分离，从而可降低胸膜粘连的发生率。
