中心静脉导管胸腔留置引流140例结核性胸腔积液临床观察(1)
 |
| 第1页 |
参见附件。
【摘要】目的探讨胸腔置入中心静脉导管持续引流治疗结核性胸膜炎的临床疗效。方法对我院2005年6月至2010年l2月共140例结核性胸膜炎患者随机分为两组：引流组70例，采用一次性中心静脉导管置入胸腔持续引流胸腔积液；对照组70例，采用常规胸腔穿刺抽胸水。两种方法均给予强的松30 mg，1次/d口服4周，严格四联抗痨，观察其胸水吸收和并发症的发生情况。结果置管法疗效明显优于常规法，置管法治疗的患者住院周期短、并发症少。引流组患者中65例一次置管成功，引流时间为3～5 d，2例少量出血，无1例出现气胸、继发肺部感染；常规穿刺组7～14 d胸水吸收，6例发生少量出血、4例发生小量气胸。结论中心静脉导管胸腔留置引流治疗结核性胸膜炎疗效确切，操作简便安全，值得推广。
【关键词】结核性胸膜炎；胸腔穿刺；引流；中心静脉导管
作者单位：277000山东省枣庄市薛城区中医院(崔德伟杜玲玲)；
山东省德州市平原县人民医院(侯清天)
通讯作者：崔德伟
Clinical observation of drainage using central venous catheter in 140 patients with tuberculosis pleural effusionCUI De-wei,DU Ling-ling,HOU Qing-tian.XUEcheng District Hospital of Traditional Chinese Medicine of Zaozhuang City,Zaozhuang 277000,China
【Abstract】ObjectiveTo explore the therapeutic effect of central venous catheter drainage on patients with tuberculosis pleural effusion. Methods140 patients with tuberculosis pleural effusion were divided into two groups randomly in our hospital from 2005-6 to 2009-12, the drainage group and the control group both consisted of 70 patients. Patients of drainage group were treated with the method of central venous catheter drainage while the control group were treated with routine thoracocentesis. All patients were also simultaneously treated with strict quadruple anti-TB. The absorption of the effusion and complications were recorded. ResultsThe effects of drainage were better than that of routine thoracocentesis. 65 patients of drainage group were successfully inserted with the central venous catheter, and drainage time varied from 3 days to 5 days, and no one was infected while the absorption time of control group varies from 7 days to 14 days and 4 patients suffered pneumothorax. ConclusionCentral venous catheter drainage is a better method for the therapy of tuberculosis pleural effusion than thoracocentesis.
【Key words】Tuberculosis pleural effusion;Thoracocentesis;Drainage;Central venous catheter
结核性胸腔积液治疗的关键在于规范抗痨基础上及时、彻底地消减胸腔积液，以减少后遗症的发生，促进肺功能的恢复[1]。现临床常采用常规胸腔穿刺抽液和胸腔中心静脉导管留置引流的方法减少胸腔积液，为比较规范抗痨治疗基础上胸腔置管引流法与常规胸腔穿刺法治疗结核性胸膜炎的疗效，选取2005~2010年的140例结核性胸膜炎患者随机分为两组进行疗效观察，现报告如下。
1研究对象
1.1所有的研究对象均来自我院2005年6月至2010年l2月收治的140例结核性胸膜炎患者。患者按随机数字表法随机分为2组，置管引流组为治疗组，共70例，男42例，女28例，年龄15~63岁；常规穿刺组为对照组，共70例，男38例，女32例，年龄16~58岁。两组对象在年龄、性别、病情差异等经统计学分析 ......
您现在查看是摘要介绍页，详见PDF附件(1194kb)。