摘要
目的探讨中心静脉导管胸腔闭式引流术在治疗结核性胸腔积液中的应用价值。方法将64例结核性胸腔积液患者随机分为两组,治疗组32例应用中心静脉导管行胸腔闭式引流术;对照组32例应用传统胸腔穿刺抽液术,每周2次。结果治疗组总有效率为96.88%,显著高于对照组的87.50%,比较差异有统计学意义(P<0.05);治疗组热退时间、气促缓解时间和胸腔积液吸收时间均显著短于对照组(P<0.05);治疗组并发症发生率显著低于对照组(P<0.05)。结论中心静脉导管胸腔闭式引流术治疗结核性胸腔积液优于传统胸腔穿刺抽液术,且操作简便,安全性高,还能降低胸膜肥厚和胸膜粘连的发生,值得临床上应用。
Objective To discuss the application value of central venuous chest-closed drainage technique in treatment of tuberculous pleural effusion.Methods A total of 64 patients with tubercular pleurisy were randomly divided into treatment group and control group,32 patients in the treatment group used central venuous chest-closed drainage technique and 32 patients in the control group used traditional chest cavity drainage technique,twice per week.Results The total effective rate of treatment group（96.88%）was significantly higher than control group（87.50%）（P0.05）;the time of pyretolysis,polypnea remittence and pleural effusion absorption of the treatment group were significantly shorter than the control group（P0.05）;and fewer complications were observed in the treatment group than in the control group（P0.05）.Conclusion It is feasible and safe to drain pleural effusion by using central venous catheter,which can reduce the pleura incrassation incidence,thus is worthy of application in clinical.
出处
《医学综述》
2012年第20期3492-3493,共2页
Medical Recapitulate
关键词
中心静脉导管
引流术
胸腔积液
对比研究
Central intravenous catheter
Drainage
Pleural effusion
Comparative study
