摘要
目的分析胸腔积液患者置入中心静脉导管的引流效果。方法将206例不同病因引起的胸腔积液患者作为研究对象(A组),使用中心静脉导管行胸腔闭式引流术。前期128例胸腔积液患者作为对照组(B组),采用传统胸腔穿刺术,对比观察住院效果,包括穿刺次数、住院时间、住院费用。结果 A组所有患者均一次置管成功,2例出现气胸,经引流管抽气后治愈,8例出现导管阻塞,用导丝通管或生理盐水冲管后引流通畅,5例导管脱落重新置管,所有患者置管5～18天引流彻底,注入药物者症状减轻或痊愈。B组则反复穿刺、检查。结论中心静脉导管胸腔闭式引流与常规胸腔穿刺抽液相比,操作更简单、快捷,患者创伤小,痛苦少,既经济实惠,又安全可靠,值得推广。
Objective To analyze the effect of central venous catheter drainage on patients with pleural effusion.Methods 206 patients with pleural effusion patients（group A） were treated with chest closed drainage resection with the central venous catheter.128 patients with pleural effusion patients（group B） were treated with the traditional chest trabeculopuncture.The puncture times,Length of hospitalization and Hospital cost were observed.Results All patients of group A were successful.There were 2 cases with pneumothorax cured with drainage tube,8 cases with catheter obstruction flowed with guidewire or saline and 5 cases with catheter falling reset.All patients drained for 5~18 days.Group B was repeated puncture or inspection.Conclusion Central venous catheter chest closed drainage is simple,fast,small trauma and reliable.
出处
《西部医学》
2011年第10期2000-2001,共2页
Medical Journal of West China
关键词
中心静脉导管
胸腔积液
闭式引流
护理
Central venous catheter
Pleural effusion
Closed drainage
Care
