摘要
目的探讨重症监护病房(ICU)患者胸腔积液的临床特点及预后。方法选择ICU病房92例患者进行回顾性分析,根据住院期间有无胸腔积液分为胸腔积液组和非胸腔积液组,比较两组病人呼吸衰竭的发生率、机械通气时间和预后。并采用微创闭式引流术作胸腔穿刺,观察引流液的颜色、性状、引流量。结果92例患者胸腔积液发生率为41%,胸腔积液组病人呼吸衰竭的发生率、机械通气时间明显高于非胸腔积液组(P<0.05)。24h胸水引流量180～1600ml,所有胸液外观呈淡血性或淡黄色。实验室检查示渗出液性改变。结论ICU患者胸腔积液发生率较高,胸腔积液组患者呼吸衰竭的发生率高、机械通气时间长,且与预后明显相关。
Objective To investigate the clinical features and prognosis of pleural effusion intensive care unit （ICU） patients. Methods Total 92 cases of patients of ICU wards were retrospectively analyzed, in accordance with the availability of pleural effusion during hospitalization divided into non - pleural effusion groups and pleural effusion group, compared two groups of patients the incidence of respiratory failure, mechanical ventilation time and prognosis. And the use of minimally invasive surgery for thoracic cavity closed drainage puncture, drainage of fluid observed color, traits, drainage. Results 92 cases of pleural effusion in patients with the incidence of 41%, pleural effusion group of patients the incidence of respiratory failure, mechanical ventilation time was significantly higher than that of non - pleural effusion group （P 〈 0. 05）. 24h pleural drainage 180 -1600ml, all bloody pleural effusion, or pale yellow appearance. Laboratory examination showed changes exudate. Conclusion ICU patients with a higher incidence of pleural effusion, pleural effusion with respiratory failure of the high incidence of mechanical ventilation time, and significantly correlated with the prognosis.
出处
《医药论坛杂志》
2009年第22期27-28,共2页
Journal of Medical Forum
关键词
胸腔积液
胸腔穿刺
重症监护病房
机械通气
P1eural effusions
Thoracentesis
Intensive care unit
Mechanical ventilation
