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《Chinese Journal of Difficult and Complicated Cases》 2017-01
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The role of electric knife sharp separation in decortication treatment for patients with chronic tuberculous empyema

WANG Mingzheng;ZHAO Dawei;LIU Jiakun;QIE Donglei;YANG Yongbin;ZHENG Hao;Department of Thoracic Surgery,Hebei Chest Hospital;  
Objective To investigate the role of electric knife sharp separation in decortication treatment for patients with chronic tuberculous empyema.Methods From August 2012 to February 2015,92 cases of stage Ⅲ of chronic tuberculous empyema were randomly divided into two groups in Hebei Chest Hospital.The experimental group had 46 cases and control group had 46 cases.In experimental group,patients were treated with decortication by using electric knife sharply separated the fiber board,in control group,traditional decortication was performed.The operation time,intraoperative blood loss,drainage quantity alter 24 h postoperatively,intubation time,the amount ol blood transfusion,and the incidence of postoperative hydro-pneumothorax,the incidence of postoperative bleeding and the incidence of liquefaction of the subcutaneous fat and wound infection were compared between the two groups.Results The experimental group and the control group' s average operation time were(253.59 ± 71.64) min and(255.11 ±68.02) min,there was no statistically difference between the two groups(P 0.05).The intraoperative blood loss,drainage quantity alter 24 h postoperatively,intubation time,the amount of blood transfusion of experimental group[(163.37 ± 104.03) ml,(285.37 ± 84.57) ml.(7.91 ± 2.79) d,(115.22 ±168.61) ml]were significantly decreased compared to control[(611.30 ± 184.25) ml,(502.17 ± 173.76) ml,(10.24 ±3.75) d.(602.I7±268.73)ml,t =-14.358,-7.609,-3.377,- 10.066,P 0.01].incidence of postoperative hydropneumothorax and incidence of postoperative bleeding ol control group(17.39%,13.04%) was higher than experimental group(P 0.05).The incidence of liquefaction ol the subcutaneous(at and wound iufection were 8.70%and 13.04%(P 0.05).Conclusion Electric knife sharp separation for decortication can reduce intraoperative blood loss,postoperative24 h after drainage and shorten the intubation time,reduce the amount ol blood products transfusion,reduce the incidence rale of intrathoracic bleeding and pneumothorax after operation,has the value of popularization and application.
【CateGory Index】: R655
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【Citations】
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1 Yu Daping;Han Yi;Liu Zhidong;Department of Thoracic,Beijing Chest Hospital,Capital Medical University;;Clinical effect on chronic tuberculosis empyema in treatment of surgical operation[J];中华医学杂志;2014-31
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【Co-citations】
Chinese Journal Full-text Database 5 Hits
1 WANG Mingzheng;ZHAO Dawei;LIU Jiakun;QIE Donglei;YANG Yongbin;ZHENG Hao;Department of Thoracic Surgery,Hebei Chest Hospital;;The role of electric knife sharp separation in decortication treatment for patients with chronic tuberculous empyema[J];疑难病杂志;2017-01
2 Abuduhailili·Yimamu;Zhuang Yongsheng;The First People's Hospital of Akesu District;;Effect evaluation of surgical in the treatment of chronic tuberculous empyema[J];中国社区医师;2016-22
3 CHEN Qi-liang;LI Jun-xiao;XU Jun-li;Department of Thoracic Surgery,Tuberculosis Prevention and Treatment Center of Shaanxi;;Influence on perioperative clinical indicators,pulmonary function and postoperative complications of patients with chronic tuberculous empyema with improving methods of fiber stripping-off surgery[J];临床和实验医学杂志;2015-11
4 LI Junxiao;CHEN Qiliang;XU Junli;Department of Surgery, Tuberculosis Prevention Hospital of Shaanxi Province;;Effect of modified pleural stripping operation in treating chronic tubercu-lous empyema[J];中国医药导报;2015-08
5 ZHANG Hui-jun;LU Zeng-hui;ZHU Chang-sheng;Department of Surgery,Xi'an Tuberculosis and Thoracic Tumor Hospital;;Clinical analysis of a short segment of spinal tuberculosis combined with tuberculous empyema[J];中国防痨杂志;2014-08
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