微创中心静脉导管治疗结核性渗出性胸膜炎的临床优势(1)
doi：10.3969/j.issn.1007-614x.2014.22.22
摘要目的：探讨不同方法抽取胸腔积液治疗结核性渗出性胸膜炎的效果比较。方法：2009年1月-2013年12月收治结核性渗出性胸膜炎患者140例，将其分为观察组和对照组。对照组采用抗结核药物进行治疗，并分多次抽出胸腔积液；观察组在采用抗结核药的基础上一次性进行胸腔积液微创中心静脉导管引流，记录两组治疗情况作对比。结果：两组经过治疗，对照组的退热时间(8.22±1.96)天，观察组的退热时间(4.76±1.81)天；对照组的积液消失时间(13.44±2.96)天，观察组的积液消失时间(8.86±2.18)天，观察组的治疗效果明显优于对照组(P<0.05)。结论：在治疗结核性渗出性胸膜炎时尽可能一次性使用微创中心静脉导管引流胸腔积液具有更好的治疗效果，在临床上值得推广应用。关键词结核性渗出性胸膜炎；微创中心静脉导管；效果
Clinical advantage of minimally invasive central venous catheter in the treatment of tuberculous exudative pleurisy
Bai Liangliang
The Second Hospital of Yulin City，Shanxi 719000
AbstractObjective：To explore the effect comparison of different methods of extracting pleural effusion in the treatment of tuberculous exudative pleurisy.Methods：140 cases with tuberculous exudative pleurisy were selected from January 2009 to December 2013.They were divided into the observation group and the control group.The control group were treated with anti tuberculosis drugs，and repeatedly extracting pleural effusion.On the basis of anti tuberculosis drugs，the observed group were treated with minimally invasive central venous catheter for disposable drainage of pleural effusion.The treatment conditions of patients in two groups were recorded and compared.Results：After the treatment in two groups，the antifebrile time of the control group was (8.22±1.96) days.The antifebrile time of the observation group was (4.76±1.81) days.The effusion disappear time of the control group was (13.44±2.96) days，The effusion disappear time of the observation group was (8.86±2.18) days.The treatment effect of the observation group was better than that of the control group(P<0.05).Conclusion：In the treatment of tuberculous exudative pleurisy，it is as far as possible to use minimally invasive central venous catheter for disposable drainage of pleural effusion.It can have better treatment effect.It is worthy of popularization and application in clinical.
Key wordsTuberculous exudative pleurisy；Minimally invasive central venous catheter；Effect
结核性渗出性胸膜炎是临床上一种常见疾病，如果在患者胸腔内有大量积液，则临床治疗方案应当在抗结核药物的配合下进行每周2～3次的胸腔穿刺抽取积液，直至胸腔积液全部吸收。也有相关研究显示，一旦诊断明确，微创胸腔置入导管，一次性将胸腔积液引流干净，便可减少胸膜粘连[1]。本文通过对140例患者的临床资料及治疗方案进行简单分析，对比不同方法抽取胸腔积液的治疗临床效果，现报告如下。
资料与方法
2009年1月-2013年12月收治结核性渗出性胸膜炎患者140例，将其分为观察组和对照组，每组70例；其中男93例，女47例，年龄18～62岁，平均(29.3±12.56)岁；临床表现：胸闷119例，乏力118例，发热126例。两组经过检查均确诊为结核性渗出性胸膜炎，排除了癌性胸膜炎、结缔组织胸膜炎、其他肺外重症结核病等其他疾病，同时经过X线及B超检查均证实患者有中等量及更多的胸腔积液。两组在性别、年龄、病程等方面均差异无统计学意义(P>0.05)。 (白亮亮)
摘要目的：探讨不同方法抽取胸腔积液治疗结核性渗出性胸膜炎的效果比较。方法：2009年1月-2013年12月收治结核性渗出性胸膜炎患者140例，将其分为观察组和对照组。对照组采用抗结核药物进行治疗，并分多次抽出胸腔积液；观察组在采用抗结核药的基础上一次性进行胸腔积液微创中心静脉导管引流，记录两组治疗情况作对比。结果：两组经过治疗，对照组的退热时间(8.22±1.96)天，观察组的退热时间(4.76±1.81)天；对照组的积液消失时间(13.44±2.96)天，观察组的积液消失时间(8.86±2.18)天，观察组的治疗效果明显优于对照组(P<0.05)。结论：在治疗结核性渗出性胸膜炎时尽可能一次性使用微创中心静脉导管引流胸腔积液具有更好的治疗效果，在临床上值得推广应用。关键词结核性渗出性胸膜炎；微创中心静脉导管；效果
Clinical advantage of minimally invasive central venous catheter in the treatment of tuberculous exudative pleurisy
Bai Liangliang
The Second Hospital of Yulin City，Shanxi 719000
AbstractObjective：To explore the effect comparison of different methods of extracting pleural effusion in the treatment of tuberculous exudative pleurisy.Methods：140 cases with tuberculous exudative pleurisy were selected from January 2009 to December 2013.They were divided into the observation group and the control group.The control group were treated with anti tuberculosis drugs，and repeatedly extracting pleural effusion.On the basis of anti tuberculosis drugs，the observed group were treated with minimally invasive central venous catheter for disposable drainage of pleural effusion.The treatment conditions of patients in two groups were recorded and compared.Results：After the treatment in two groups，the antifebrile time of the control group was (8.22±1.96) days.The antifebrile time of the observation group was (4.76±1.81) days.The effusion disappear time of the control group was (13.44±2.96) days，The effusion disappear time of the observation group was (8.86±2.18) days.The treatment effect of the observation group was better than that of the control group(P<0.05).Conclusion：In the treatment of tuberculous exudative pleurisy，it is as far as possible to use minimally invasive central venous catheter for disposable drainage of pleural effusion.It can have better treatment effect.It is worthy of popularization and application in clinical.
Key wordsTuberculous exudative pleurisy；Minimally invasive central venous catheter；Effect
结核性渗出性胸膜炎是临床上一种常见疾病，如果在患者胸腔内有大量积液，则临床治疗方案应当在抗结核药物的配合下进行每周2～3次的胸腔穿刺抽取积液，直至胸腔积液全部吸收。也有相关研究显示，一旦诊断明确，微创胸腔置入导管，一次性将胸腔积液引流干净，便可减少胸膜粘连[1]。本文通过对140例患者的临床资料及治疗方案进行简单分析，对比不同方法抽取胸腔积液的治疗临床效果，现报告如下。
资料与方法
2009年1月-2013年12月收治结核性渗出性胸膜炎患者140例，将其分为观察组和对照组，每组70例；其中男93例，女47例，年龄18～62岁，平均(29.3±12.56)岁；临床表现：胸闷119例，乏力118例，发热126例。两组经过检查均确诊为结核性渗出性胸膜炎，排除了癌性胸膜炎、结缔组织胸膜炎、其他肺外重症结核病等其他疾病，同时经过X线及B超检查均证实患者有中等量及更多的胸腔积液。两组在性别、年龄、病程等方面均差异无统计学意义(P>0.05)。 (白亮亮)