Treatment of Spontaneous Pneumothorax with Central Venous Catheter and Continuous Negative Pressure Drainage Suction

Object:To study of the availability,safety and limits of treatment of spontaneous pneumothorax with central venous catheter and continuous negative pressure suction.Method:Central venous catheter of 14G was put thoracic cavity with percutaneous dilation.Spontaneous pneumothorax.was treated closed thoracic drainage and continuous negative pressure suction.The result was compared with traditional closed thoracic drainage with thick catheter.Statistical analysis was conducted.Result:1.The majority of spontaneous pneumothorax in our hospital is primary,which is 67.24%.2.There is no significant difference of the time of pulmonary reexpansion and no air leakage between central venous catheter group and traditional thick catheter group.The availability of spontaneous pneumothorax with COPD was lower than spontaneous pneumothorax without COPD.The difference is significant(P0.01).Incidences of chest pain and catheter drop in central venous catheter group were lower than those in traditional thick catheter group(P0.01,P0.05).Conclusion:Compared with traditional closed thoracic drainage with thick catheter,treatment of spontaneous pneumothorax with central venous catheter and continuous negative pressure suction is more easily operated,managed and has slight injuries.It is fit for spontaneous pneumothorax without COPD.But treatment of spontaneous pneumothorax with COPD should be careful with the method and it is unfit for critical pneumothorax.