Dissertation > Excellent graduate degree dissertation topics show

Small-bore Catheter Versus Conventional Chest Tube Drainage for Pneumothorax

Author: ZhangMeng
Tutor: LiuFanYing
School: Shandong University
Course: Surgery
Keywords: pneumothorax treatment drainage central venous catheter conventionalchest tube
CLC: R655
Type: Master's thesis
Year: 2012
Downloads: 45
Quote: 0
Read: Download Dissertation


Objective:The aim of this study was to compare the effectiveness of drainage via a single-lumen (5F catheter equivalent to16G catheter) central venous catheter (CVC) to a conventional (14-20F catheter) chest tube (CT) for the management of pneumothoraces, including primary spontaneous pneumothorax (PSP), secondary spontaneous pneumothorax (SSP) associated with chronic obstructive pulmonary disease, and iatrogenic pneumothoraces and traumatic pneumothoraces.Methods.:All consecutive patients admitted to the department of thoracic surgery, Number4People’s Hospital of Jinan City, for pneumothorax were retrospectively screened over an8-year period. Patients were preferentially treated using CT from2004to2007(control group) and using CVC from2008to2011(observation group). Drainage failure was defined as the need for a second drainage procedure or for surgery.Results:Of212patients included,117(55%) had PSP,28(13%) had SSP associated with chronic obstructive pulmonary disease,19(9%) had traumatic pneumothorax, and48(23%) had iatrogenic pneumothorax. The failure rate was23%in PSP,36%in SSP,16%in traumatic pneumothorax, and only2%in iatrogenic pneumothorax. After adjustment, iatrogenic pneumothorax was the only factor that had an influence on drainage failure. The failure rate was similar between the112patients treated using CVC and the100patients treated using CT (18%vs21%, P=.60). However, the durations of drainage (3.3±1.9vs4.6±2.6days, P<.01) and of hospital stay were significantly shorter in patients treated using CVC as compared with CT.Conclusion:Our findings suggest that drainage via a catheter or via a CT is similarly effective in the management of pneumothorax. We recommend considering drainage via a small-bore catheter as a first-line treatment in patients with pneumothorax, whatever its cause.

Related Dissertations

  1. Studies on the Synthesis and Technology of Dipentaerythritol and Its Derivative,TQ223.164
  2. The Clinical Observation of the Lupus Detoxification Pill on Treating the Remission of Systemic Lupus Erythematosus,R259
  3. Effects of acupuncture on stroke recovery associated with depression and physical disabilities,R246.6
  4. Platelet parameters in patients before and after acute myocardial infarction,R542.22
  5. Professor Zhang Shuwen academic thinking,and 59 cases of Chinese and Western medicine combined with clinical research for diagnosis and treatment of acute pancreatitis,R249.2
  6. Study on Nitrogen Removal by Soil Aquifer Treatment Process That Enhanced Nature Reoxygenation and Effective Volume,X703
  7. Study on Effect and Mechanisms of Hot Air Combined with MeJA on Quality Maintenance in Loquat Fruit,TS255.3
  8. Selection and Optimization of Control Technics in CODCr and Colority of the Refined Cotton Wastewater Treatment Process in a Refined Cotton Enterprise in Rudong, Jiangsu Province,X791
  9. Study on Drying Processing and Sterilization on Spinach,TS255.52
  10. Study on Characteristics of Morphology Anatomy and Physio-Biochemistry of Two Ecotype Varieties Cucumber Leggy Seedilings,S642.2
  11. Study on Key Technology and Its Physiological Basis of Virus Elimination and Rapid Propagation of Phalaenopsis,S682.31
  12. Chen Tongyun teacher academic thinking and clinical experience and treatment prescription acne hair cut,R249.2
  13. Clinical Study of Iliac Vein Compressioon Syndrome with Endovascular Treatment,R654.3
  14. Treatment of Device-Related Infection in Rabitts by High Requency Electric,R687.3
  15. Physio-Biochemiscal Responses of Seed Germination and Seedling of Sweet Pepper under NaCl Stress,S641.3
  16. The Experimental Research on Using Electroacupuncture to Treat the Dysfunction Memory of Rats Suffered from Alzheimer’s Disease,R245
  17. The Curative Effect Contrast between the Percutaneous Hollow Compression Screw Internal Fixation and the Prosthetic Replacement for Joint in the Senile Osteoporosis Femoral Neck Fracture,R687.3
  18. Clinical Analysis of 11 Cases of Primary Breast Lymphoma,R737.9
  19. Root Resorption of Upper Centre Incisor with Compensation in Skeletal Class Ⅱ and Ⅲ Malocclusions,R783.5
  20. Engineering Design on the Treatment and Reuse of Coal Mine Drainage,X752
  21. Research on Automatic Radian Control (ARC) Treatment System with Medical Linear Electronic Accelerator,TH774

CLC: > Medicine, health > Surgery > Of surgery > Science in the chest outside the
© 2012 www.DissertationTopic.Net  Mobile