Clinical analysis of effect of using central venous catheter indwelling drainage by skin in treating patients with pneumothorax

Objective To observe the clinical effects of draining with indwelling central venous catheter by skin in patients with pneumothorax.Methods 28 patients with medium or large amounts of pneumothorax who had a definite diagnosis by that bosom X line sum/or bosom surpasses sound were randomly divided into treated group(n=11) and control group(n=17) in our hospital from January 2004 to June 2007.The control group was given conventional drug treatment and the traditional simple thoracic cavity puncture pumping fluids(three times every week).Based on conventional drug treatment,in the treated group,the central venous catheterization was put into thoracic cavity to drain the pneumothorax,after 24 hours,draining again and again until the pneumothorax was exhausted,and then pulling out the central venous catheter.The comparisons were made on the treatment effects,its complications and the medical expenses.Results The average time of pneumothorax absorption: the treated group was(3.24±1.76) days;but the control group was(10.14±2.72) days;the pleural reaction(1.40% vs 9.81%);the hydrothorax wrap incidence(0% vs 15.89%);the pneumothorax incidence(0% vs 11.76) and the average hospitalization total costs(1291.52±716.59 Yuan vs 1736.49±1211.43 Yuan).There were significant differences between the two groups(P0.05).Conclusion Draining with the indwelling central venous catheter in patients with pneumothorax has the advantages of easy use and safe operation,reducing hospitalization time and cost,with better treatment effects.It deserves to be used wider in clinical practice.