[自制负压低温甲状腺冲洗\引流套管的应用体会]低温注CO2套管力学分析

　　[摘要]目的探讨自制负压低温甲状腺冲洗、引流套管在甲状腺手术后的引流效果。方法 96例甲亢手术随机分组:A组选用自制负压低温甲状腺冲洗、引流套管,B组选用Y型负压引流管。结果 A组患者术后在心率、引流量、疼痛、引流管内残留血块及术后三月吞咽不适情况较B组有明显改善。结论 甲亢术后选用自制甲状腺冲洗、引流套管引流,可以达到通畅引流、局部止血、减少甲状腺素吸收、减轻局部疼痛等作用。
　　[关键词]负压低温; 甲状腺冲洗引流管;甲亢手术
　　[中图分类号]R581.1 [文献标识码]A[文章编号] 1005-0515(2010)-7-0029-01
　　[Abstract]ObjectiveTo investigate the self-vacuum low-temperature washing thyroid, casing drainage after thyroid surgery in the drainage effect. Methods96 cases of hyperthyroidism were randomly divided surgery: A group self-selected low temperature thyroid negative pressure washing, drainage casing, B group optional Y-suction drainage tube.ResultsA group of patients in heart rate, drainage, pain, drainage tube and postoperative residual blood clot in March does not swallow the situation is worse than B group significantly improved. ConclusionHyperthyroidism after thyroid self-selection of washing, drainage casing drainage, open drainage can be achieved, local hemostasis, reduced thyroxine absorption, and reduce the role of local pain.
　　[Keywords]negative-pressure low-temperature;washing drainage tube;hyperthyroidism thyroid surgery.
　　
　　甲状腺位于颈部软组织之中,又贴附于气管之上,随着呼吸、吞咽、发音而上下移动,难以完全静止[1]。加之,其血液、淋巴循环极其丰富,我们一直采用Y型胶管负压引流,每次拔管时均见管内有血块存留。由此引发自制负压低温甲状腺冲洗、引流套管,在2005年10月-2009年6月,我们选择行甲亢手术96例,现将术中放置引流管的方式对比报告分析如下。
　　1 临床资料
　　选择96例甲亢手术,全部患者甲状腺肿大均在Ⅱ°以上,原发性甲亢26例,继发性甲亢70例,合并心血管系统改变3例,合并神经系统改变2例,亢合并癌变5例,其中男17例,年龄22-46岁,女79例,年龄21-59岁。
　　2 方法
　　2.1 治疗 术前经抗甲亢、服碘治疗,控制基础代谢率